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Case Reports in Ophthalmological Medicine
Volume 2015 (2015), Article ID 192864, 2 pages
http://dx.doi.org/10.1155/2015/192864
Case Report

Posttraumatic Sphingomonas paucimobilis Endophthalmitis

11st Department of Ophthalmology, University of Athens, General Hospital “G. Gennimatas”, Mesogeion Avenue 158, 156 69 Athens, Greece
22nd Department of Ophthalmology, Aristotle University of Thessaloniki, “Papageorgiou” General Hospital, Thessaloniki Ring Road, 564 03 Thessaloniki, Macedonia

Received 18 October 2015; Accepted 15 December 2015

Academic Editor: J. Fernando Arevalo

Copyright © 2015 Konstantinos Droutsas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A rare case of Sphingomonas paucimobilis endophthalmitis secondary to a penetrating globe injury with a retained intraocular foreign body is presented. A 30-year-old man presented with severe pain following a penetrating left eye injury. Visual acuity (VA) was 6/120. Slit-lamp examination revealed perforation of the temporal cornea and iris, hypopyon, and a fibrinous membrane covering the pupil. Ultrasonography showed dense vitreous infiltration and an orbital CT-scan confirmed the presence of a metallic foreign body in the vitreous cavity. Topical and systemic therapy were initiated. Pars-plana vitrectomy combined with phacoemulsification was performed in order to remove the foreign body; vitreous samples were acquired and Sphingomonas paucimobilis, sensitive to ceftazidime, was identified. To the best of our knowledge, this is the first report of Sphingomonas paucimobilis endophthalmitis following penetrating ocular injury. In this case, Sphingomonas paucimobilis was not resistant to antibiotics. This allowed for a good healing response following vitrectomy despite the fact that long-term retinal complications resulted in low VA.