Bacillus Panophthalmitis with Posterior Extension to the Prechiasmatic Optic Nerve
Joint Authors
Kasenchak, James E.
Hale, Benjamin P.
Wilson, Thomas W.
Notz, Gregory M.
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A rare case of Bacillus panophthlamitis with extension to the prechiasmatic optic nerve secondary to hematogenous spreading after intravenous drug use is presented.
A 27-year-old man with a recent history of trauma to the left eye presented with severe left eye pain following a binge of intravenous drug use.
Visual acuity (VA) was LP.
On examination he had chemosis, proptosis, elevated intraocular pressure, and a complete hyphema.
CT-scan identified preseptal swelling, but no evidence of any posterior extension of the anterior process or orbital fractures.
Topical and systemic therapy were initiated.
On follow-up clinical examination less than 12 hours after presentation he had signs of a keratitis with worsening ophthalmoplegia and repeat imaging demonstrated posterior extension to the prechiasmatic optic nerve.
Shortly after the cornea ruptured with cultures growing Bacillus.
The patient underwent enucleation and has had no further progression of infection.
To the best of our knowledge, this is the first report of Bacillus panophthalmitis presenting with signs of trauma with posterior extension to the prechiasmatic optic nerve.
American Psychological Association (APA)
Kasenchak, James E.& Hale, Benjamin P.& Wilson, Thomas W.& Notz, Gregory M.. 2016. Bacillus Panophthalmitis with Posterior Extension to the Prechiasmatic Optic Nerve. Case Reports in Ophthalmological Medicine،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101850
Modern Language Association (MLA)
Kasenchak, James E.…[et al.]. Bacillus Panophthalmitis with Posterior Extension to the Prechiasmatic Optic Nerve. Case Reports in Ophthalmological Medicine No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101850
American Medical Association (AMA)
Kasenchak, James E.& Hale, Benjamin P.& Wilson, Thomas W.& Notz, Gregory M.. Bacillus Panophthalmitis with Posterior Extension to the Prechiasmatic Optic Nerve. Case Reports in Ophthalmological Medicine. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101850
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101850