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Successful treatment of orthodontic-associated traumatic endophthalmitis. Am J Ophthalmol 2002 Sep;134(3):449-50

Date

09/05/2002

Pubmed ID

12208264

DOI

10.1016/s0002-9394(02)01589-1

Scopus ID

2-s2.0-0036742917 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

PURPOSE: To report successful management of orthodontic-associated traumatic endophthalmitis.

DESIGN: Interventional case report.

METHODS: A 17-year-old boy developed endophthalmitis after a penetrating corneal injury produced during removal of an orthodontic wire. Treatment included pars plana vitrectomy (PPV) with broad-spectrum intravitreal and systemic antibiotics.

RESULTS: Clinical endophthalmitis resolved after PPV with injection of intravitreal vancomycin (1 mg) and ceftazidime (2.25 mg), along with oral ciprofloxacin (750 mg twice daily). Microbiologic cultures of intraocular samples produced Staphylococcus epidermidis, Streptococcus viridans, and Lactobacillus species. Visual acuity improved to 20/20.

CONCLUSIONS: Orthodontic-associated endophthalmitis can involve multiple organisms. It can be successfully treated with current treatment modalities, including PPV, intravitreal antibiotics, and systemic antibiotics.

Author List

Wirostko WJ, Kivlin JD

Author

William Wirostko MD Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Anti-Bacterial Agents
Combined Modality Therapy
Corneal Injuries
Drug Therapy, Combination
Endophthalmitis
Eye Infections, Bacterial
Eye Injuries, Penetrating
Gram-Positive Bacterial Infections
Humans
Lactobacillus
Male
Orthodontic Wires
Staphylococcus epidermidis
Streptococcus
Visual Acuity
Vitrectomy