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首页> 美国卫生研究院文献>GMS Ophthalmology Cases >Traumatic endophthalmitis following a crane pecking injury – An unusual mode
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Traumatic endophthalmitis following a crane pecking injury – An unusual mode

机译：起重机啄伤后发生的创伤性眼内炎–一种不寻常的模式

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>Purpose: To report a case of beta-hemolytic streptococcal endophthalmitis following crane-pecking injury.>Case Report: A twelve-year-old boy was brought to us by his father with history of crane beak injury in his right eye. On examination, his vision was 6/24 Snellen’s acuity. Anterior segment examination showed a full thickness two mm corneo-limbal tear at 1 o’clock with iris prolapse. Pupil showed peaking through the wound with a clear crystalline lens. There was no evidence of hypopyon in the anterior chamber and B-scan ultrasonography showed acoustically clear vitreous with an attached retina. Left eye was within normal limits. Primary corneo-limbal tear repair was performed within 24 hours from the time of presentation. Intra-operatively, the corneal surgeon noted turbid aqueous with minimal hypopyon. In view of clinical suspicion of infection, an intravitreal tap for culture was taken during the primary repair, and prophylactic intravitreal antibiotics were given. The culture report showed beta-hemolytic streptococci. Pars plana vitrectomy with intravitreal antibiotics was performed after 2 days as serial ultrasound scans showed appearance and worsening of endophthalmitis. A month after the surgery, his best corrected visual acuity improved to 6/12.>Conclusion: Ocular injuries resulting from bird pecking are very rare. We treated a case of full thickness corneo-limbal tear with endophthalmitis caused by beta-hemolytic streptococci following a crane-pecking injury. We recommend that injecting intravitreal antibiotics along with primary globe repair in case of severe/contaminated injuries and early pars plana core-vitrectomy would result in better outcome like in our case.
机译：>目的：要报告一例白鹤啄伤后的β-溶血性链球菌眼内炎。>病例报告：他的父亲带了一个十二岁的男孩，他和右眼起重机鹤嘴受伤的病史。经检查，他的视力是Snellen的视力为6/24。前段检查显示，在1点钟时，全层角膜撕裂厚度为2毫米，虹膜脱垂。小学生显示出清晰的晶状体在伤口上达到峰值。没有任何证据表明前房存在hyperpyon，B超检查显示玻璃体透明并伴有视网膜附着。左眼在正常范围内。自出现之日起24小时内进行初次角膜-角膜撕裂修复。术中，角膜外科医生注意到浑浊的房水，并伴有最少的hyperpyon。考虑到临床感染的可能性，在初次修复期间进行玻璃体内水龙头培养，并给予预防性玻璃体内抗生素。培养报告显示β-溶血性链球菌。 2天后进行玻璃体腔镜玻璃体切除术，因为连续超声扫描显示眼内炎的出现和恶化。手术一个月后，他的最佳矫正视力提高到6/12。>结论：啄鸟引起的眼外伤很少见。我们治疗了一例由鹤嘴啄伤引起的β-溶血性链球菌引起的眼角膜全层增厚伴眼内炎。我们建议，如果发生严重/受污染的损伤以及早期pars平面玻璃体玻璃体切除术，则注射玻璃体内抗生素并进行一次原发性球镜修复，将能够像我们的病例那样获得更好的结果。

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