Post-Traumatic Infectious Endophthalmitis: A Case Report

Abstract

Introduction: Endophthalmitis is a severe inflammation of the eyeball; its most prevalent form being postoperative exogenous. Currently, there are few reported cases of exogenous post-traumatic infectious endophthalmitis caused by a mycotic agent; besides, there is a risk factor in its evolution, such as type 2 diabetes mellitus. Objective: To describe the nosological characteristics of post-traumatic endophthalmitis. Methods: A descriptive observational study was carried out as a case report, which complied with the ethical principles of the Helsinki Declaration and the Resolution 8430 of 1993. Results: A male patient of 51 years of age (rural origin, occupation: farmer) attends the emergency medical service of the Hospital Universitario de Santander, reporting ocular pain in the right eye (RE) with a history of blunt trauma (stone). Far visual acuity in RE with 0.1 LogMAR does not improve, with a diagnosis of a) blunt ocular trauma, b) corneal ulcer in RE of Fusarium etiology, c) advanced mycotic endophthalmitis in RE, d) secondary glaucoma in RE, e) type 2 diabetes mellitus de novo. After 13 days of evolution and follow-up of the patient, enucleation + implant + canthoplasty was proposed. Conclusions: adequate interdisciplinary management with complementary examinations contributes to an accurate and timely diagnosis.