Cornea

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Case Reports

Clostridium sordellii Endophthalmitis After Suture Removal From a Corneal Transplant

Zink, Jeffrey M MD; Singh-Parikshak, Rita MD; Sugar, Alan MD; Johnson, Mark W MD

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Abstract

Purpose: To report a case of endophthalmitis caused by Clostridium sordellii.

Methods: A 33-year-old man sustained a penetrating injury of the right eye that resulted in several ocular surgical procedures including pars plana vitrectomy, scleral buckling, scleral-sutured posterior chamber intraocular lens, and penetrating keratoplasty. More than 4 years after the penetrating injury he presented for examination with pain, photophobia, redness, decreased vision, and floaters in the right eye. Vitreous culture grew Clostridium sordellii.

Results: Following intravitreal injection of antibiotics, the patient’s vision improved from 3/200 to 20/80 (baseline visual acuity) within 2 days. All signs of inflammation resolved without recurrence.

Conclusions: Clostridium sordellii endophthalmitis may have a more benign course than the fulminant endophthalmitis typically seen with other Clostridium species.

© 2004 Lippincott Williams & Wilkins, Inc.

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