open access

Vol 1, No 1 (2016)
CASE REPORTS
Published online: 2016-03-30
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Posttraumatic endophthalmitis due to tobacco drying wire treated with vitrectomy, temporary keratoprosthesis, and keratoplasty

Małgorzata Ozimek, Katarzyna Nowomiejska, Cesare Forlini, Robert Rejdak
DOI: 10.5603/OJ.2016.0006
·
Ophthalmol J 2016;1(1):36-39.

open access

Vol 1, No 1 (2016)
CASE REPORTS
Published online: 2016-03-30

Abstract

AIM. To report a case of posttraumatic endophthalmitis with corneal opacity that was treated by combined penetrating keratoplasty using temporary keratoprosthesis and pars plana vitrectomy (PPV) with silicon oil tamponade.

CASE PRESENTATION. A 35-year-old woman was admitted to our clinic after open globe injury due to wire used for tobacco drying. At the time of her first visit, her best-corrected visual acuity was light perception. On the day of admission a 20-G PPV with phacoemulsification and vancomycin administration in tapping was performed. The operation was aborted due to visualisation constraints. Four days later 20-G PPV in combination with penetrating keratoplasty with use of temporary keratoprosthesis and silicon oil tamponade was performed. General and topical antibiotics and topical antifungal drugs were administered. Five months after hospitalisation visual acuity was light perception, and the corneal graft remained clear, but proliferative vitreoretinopathy was observed.

CONCLUSIONS. Combined penetrating keratoplasty using temporary keratoprosthesis and PPV could be advantageous in managing visualisation constraints due to posttraumatic endophthalmitis; however, functional results are not satisfactory.

Abstract

AIM. To report a case of posttraumatic endophthalmitis with corneal opacity that was treated by combined penetrating keratoplasty using temporary keratoprosthesis and pars plana vitrectomy (PPV) with silicon oil tamponade.

CASE PRESENTATION. A 35-year-old woman was admitted to our clinic after open globe injury due to wire used for tobacco drying. At the time of her first visit, her best-corrected visual acuity was light perception. On the day of admission a 20-G PPV with phacoemulsification and vancomycin administration in tapping was performed. The operation was aborted due to visualisation constraints. Four days later 20-G PPV in combination with penetrating keratoplasty with use of temporary keratoprosthesis and silicon oil tamponade was performed. General and topical antibiotics and topical antifungal drugs were administered. Five months after hospitalisation visual acuity was light perception, and the corneal graft remained clear, but proliferative vitreoretinopathy was observed.

CONCLUSIONS. Combined penetrating keratoplasty using temporary keratoprosthesis and PPV could be advantageous in managing visualisation constraints due to posttraumatic endophthalmitis; however, functional results are not satisfactory.

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Keywords

penetrating injury, endophthalmitis, vitrectomy, temporary keratoprosthesis, penetrating keratoplasty

About this article
Title

Posttraumatic endophthalmitis due to tobacco drying wire treated with vitrectomy, temporary keratoprosthesis, and keratoplasty

Journal

Ophthalmology Journal

Issue

Vol 1, No 1 (2016)

Pages

36-39

Published online

2016-03-30

DOI

10.5603/OJ.2016.0006

Bibliographic record

Ophthalmol J 2016;1(1):36-39.

Keywords

penetrating injury
endophthalmitis
vitrectomy
temporary keratoprosthesis
penetrating keratoplasty

Authors

Małgorzata Ozimek
Katarzyna Nowomiejska
Cesare Forlini
Robert Rejdak

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