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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

Cornea:
Case Reports
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.

Author Information

From the Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan.

Received for publication June 11, 2003; revision received October 28, 2003; accepted December 17, 2003.

Reprints: Jeffrey M. Zink, MD, Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, 1000 Wall Street, Ann Arbor, Michigan, 48105 (e-mail: jzink@med.umich.edu).

© 2004 Lippincott Williams & Wilkins, Inc.