Endophthalmitis following penetrating eye injuries

Abstract

ABSTRACT. Postinjury endophthalmitis is the eye infection with the worst prognosis. A retrospective 9-year study was made of penetrating eye injuries, with an analysis of the incidence of infection and its relation to the type of wound and the presence of intraocular foreign bodies. There were 403 cases of penetrating eye injury; of these, 233 affected the cornea and 170 involved the posterior pole. Intraocular foreign bodies were present in 40 cases. Endophthalmitis developed in 4.2% of cases (17/403), and was more common in patients with posterior pole involvement (7%) than in purely corneal trauma (2.1%) (p = 0.03, Chi-square). Infection was in turn more frequent in the presence of intraocular foreign bodies (15%)) (p = 0.17, Chi-square). Staphylococcus epidermidis was the most common cause (23.4%), while in three cases (17.6%) mixed infection was detected. The visual results were evisceration or non-perception of light in 82.3% of cases.

Endophthalmitis prevalence in an university hospital

“…As in other studies 2,7,8 , there was a predominance of males among the patients, which may have resulted from the large number of cases of post-traumatic endophthalmitis, usually predisposed by the type of economic occupation of the patient, more common among men.…”

Combined anterior and posterior segment injuries in children: a review

“…Some authors [73] suggest selecting an implant 2 mm less in diameter than the axial length of the eye in pediatric patients. Various other alloplastic orbital implants Verbraeken & Rysselaere 1994 [50] adults 615 3.8% Thompson et al 1995 [51] adults 258 5% Duch-Samper et al 1997 [52] adults 403 4.2% Essex et al 2004 [53] adults 250 6.8% Narang et al 2004 [49] ≤18 years 72 54% Lee et al 2009 [4] ≤16 years 62 9.7% can be used to fill an enucleated eye socket; autologous dermis fat grafts have been reported to provide excellent cosmetic results [74].…”

Endophthalmitis following open-globe injuries

“…3,[5][6][7][8][9][10][11]18,19,22 Clinical signs of open globe include eyelid edema, hemorrhagic chemosis, abnormal anterior chamber depth, presence of corneal or scleral lacerations with/ without uveal prolapse, intraocular hemorrhage, pupil peaking, cataract, and retinal detachment. 1 Useful clinical symptoms and signs in the diagnosis of endophthalmitis after open-globe injury include hypopyon, vitritis, worsening vision and pain, as well as corneal ring infiltrate (Table 3).…”