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Case Reports
. 2019 Sep 11;10(3):312-318.
doi: 10.1159/000502413. eCollection 2019 Sep-Dec.

Post-Traumatic Endophthalmitis Caused by Oerskovia turbata

Landon J Rohowetz  1 , Nimesh A Patel  2 , Nicolas A Yannuzzi  2 , Kenneth C Fan  2 , Darlene Miller  2 , Harry W Flynn Jr  2
Affiliations
Case Reports

Post-Traumatic Endophthalmitis Caused by Oerskovia turbata

Landon J Rohowetz et al. Case Rep Ophthalmol. .

Abstract

Purpose: To present a previously unreported cause of bacterial endophthalmitis manifesting as delayed post-traumatic endophthalmitis ultimately responsive to total capsulectomy.

Case report: A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and Oerskovia turbata was eventually isolated. After a prolonged treatment course, including two pars plana vitrectomies and total capsulectomy, the patient achieved 20/80 visual acuity at 1-year follow-up.

Conclusion: This is the first reported patient with endophthalmitis due to O. turbata, a Gram-positive bacillus found in soil that rarely causes human infection. The infection had a delayed presentation despite early prophylactic antibiotics and was ultimately eliminated with total capsulectomy. Removal of lens and lens capsule may be necessary in the management of post-traumatic endophthalmitis unresponsive to more conservative therapy, particularly in cases involving atypical organisms and lens capsule violation.

Keywords: Capsulectomy; Lensectomy; Oerskovia turbata; Post-traumatic endophthalmitis.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
B-scan 26 days after initial injury demonstrating total posterior vitreous detachment, choroidal thickening, and dense mobile subhyaloid and vitreous opacities indicative of endophthalmitis. There is no evidence of intraocular foreign body.
Fig. 2
Fig. 2
Ultrasound biomicroscopy about 4 months after initial injury demonstrating retained lens capsule adherent to the posterior iris.
Fig. 3
Fig. 3
Fundus photos 12 days post-vitrectomy demonstrating pre-retinal fibrosis and atrophy near the inferior vascular arcade.
See this image and copyright information in PMC

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