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Pseudomonas aeruginosa endophthalmitis caused by accidental iatrogenic ocular injury with a hypodermic needle.
- Source :
-
The Journal of international medical research [J Int Med Res] 2017 Apr; Vol. 45 (2), pp. 882-885. Date of Electronic Publication: 2017 Mar 16. - Publication Year :
- 2017
-
Abstract
- Iatrogenic traumatic endophthalmitis is a rare but serious ocular infection that can lead to severe vision loss. A 44-year-old man presented with pain and decreased vision in the right eye 4 hours after injury with a hypodermic needle during irrigation of his eye. Slit-lamp examination revealed a penetrating corneal puncture and iris hole in the right eye. Twenty hours later, his visual acuity had decreased to hand motion, and severe fibrinoid uveitis was noted. He immediately underwent irrigation of the anterior chamber and intravitreal antibiotic injection. The right eye became painful again, and emergent vitrectomy combined with lensectomy was performed along with intravitreal antibiotic administration. The patient remained stable during the 2-month follow-up. Standard practice should be adopted when irrigating the eye to prevent this type of injury, and emergent surgical intervention is very important to preserve visual function.
- Subjects :
- Adult
Endophthalmitis drug therapy
Endophthalmitis microbiology
Endophthalmitis surgery
Eye microbiology
Eye pathology
Humans
Iatrogenic Disease
Intravitreal Injections
Male
Needles
Needlestick Injuries drug therapy
Needlestick Injuries microbiology
Needlestick Injuries surgery
Pseudomonas Infections drug therapy
Pseudomonas Infections microbiology
Pseudomonas Infections surgery
Pseudomonas aeruginosa growth & development
Pseudomonas aeruginosa pathogenicity
Therapeutic Irrigation
Uveitis drug therapy
Uveitis microbiology
Uveitis surgery
Anti-Bacterial Agents therapeutic use
Endophthalmitis diagnosis
Needlestick Injuries diagnosis
Pseudomonas Infections diagnosis
Uveitis diagnosis
Vitrectomy
Subjects
Details
- Language :
- English
- ISSN :
- 1473-2300
- Volume :
- 45
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Journal of international medical research
- Publication Type :
- Academic Journal
- Accession number :
- 28415945
- Full Text :
- https://doi.org/10.1177/0300060517694570