Successful prophyloxix of clostridium perfringens endophthalmitis

ABSTRACT

Our report describes a 30 year-old man, who sustained a penetrating injury with an intraocular foreign body. The patient underwent pars plana vitrectomy and removal of the intraocular foreign body. A vitreous biopsy culture grew Clostridium perfringens, The postoperative course was complicated by a fibrinous reaction in the anterior chamber that was controlled by frequent streoid eye drops. Two months after the procedure, visual acuity was 20/60 with no evidence of infection. The excellent outcome in this case supports prompt vitrectomy intervention and the removal of acute retained intraocular foreign bodies in the prophylactic treatment of C. perfringens endophthalmitis