Posttraumatic Endophthalmitis

Faghihi, Hooshang; Hajizadeh, Fedra; Esfahani, Mohammad Riazi; Rasoulinejad, Seyed Ahmed; Lashay, Alireza; Mirshahi, Ahmad; Karkhaneh, Reza; Tabatabaey, Ali; Khabazkhoob, Mehdi; Faghihi, Shaahin

doi:10.1097/iae.0b013e3182180087

Cited by 51 publications

(51 citation statements)

References 23 publications

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“…In China, a total of 4795 OGIs were studied with a PTE incidence of 11.91%—eviscerated cases were excluded and the authors do not mention the routine use of antibiotic prophylaxis 22. In Iran, 117 cases of PTE out of 2340 OGIs were reported (an incidence of 5.1%) when patients were given intravenous antibiotics (cefazolin and gentamicin) for a period of 3 days 23. In a review of 558 patients with OGI from the USA,3 an incidence of 0.9% was found when intravenous vancomycin and ceftazidime prophylaxis was used.…”

Section: Discussionmentioning

confidence: 99%

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Randomised controlled trial of prophylactic antibiotic treatment for the prevention of endophthalmitis after open globe injury at Groote Schuur Hospital

2016

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The incidence of endophthalmitis with prophylaxis was 2-3%. Selected patients with open globe injuries (without high-risk features) may receive either intravenous cefazolin and oral ciprofloxacin, or oral cefuroxime and oral ciprofloxacin as prophylaxis against acute endophthalmitis-the latter regimen has the advantage of shortening patients' hospital stays and reducing costs. Non-inferiority study-design limitations should be taken into account, however.

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Section: Discussionmentioning

confidence: 99%

“…Reports on the prevalence of culture-negative cases of PTE range from 17% to 42% 19 21 24. Several authors have emphasised the importance of using a clinical diagnosis of endophthalmitis and thus have included culture-negative cases in their studies 19 21 23…”

Section: Discussionmentioning

confidence: 99%

Randomised controlled trial of prophylactic antibiotic treatment for the prevention of endophthalmitis after open globe injury at Groote Schuur Hospital

2016

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“…Instant wound closure eliminates the risk of endophthalmitis [7] if contamination has not already occurred, and also that of an expulsive hemorrhage; additionally, it is helpful in case of legal action against the surgeon. …”

Section: Open-globe Traumamentioning

confidence: 99%

The Timing of Reconstruction in Severe Mechanical Trauma

Kuhn

2013

Ophthalmic Res

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Serious ocular trauma involving the posterior segment remains rather common and, despite many technological advances in recent years, continues to represent a significant management challenge to the ophthalmologist. One of these challenges is to identify the most optimal timing for the ultimate reconstruction, namely vitrectomy. While it is fairly obvious that suture-closure of the wound of open-globe injuries should be done as soon as possible, it is less clear whether vitrectomy should be performed in the same surgical session (primary comprehensive reconstruction) or be deferred (staged approach), and if so for how long. In this review, 4 options for staging are offered: early (days 2-4); delayed (days 5-7); late (days 8-14), and very late (past 2 weeks). The earlier the vitrectomy, the higher the risk of intraoperative complications. Conversely, the later the vitrectomy, the higher the incidence and severity of postoperative complications, of which proliferative vitreoretinopathy is the most damaging.

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“…These 4 cases gave an incidence of 11.1%. This is much higher than was published in an Iranian study that showed an incidence of 5.1% [18]. …”

Section: Discussionmentioning

confidence: 54%

Pattern of paediatric corneal laceration injuries in the University of port Harcourt teaching hospital, Rivers state, Nigeria

Adio

Nwachukwu

2012

BMC Res Notes

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BackgroundCorneal lacerations mostly affect younger children, commonly males, who will constitute the majority of the workforce. Clinical outcomes are reviewed and compared so that measures to reduce their occurrence and improve outcome can be proffered.MethodsRecords of all children between the ages of 1-18 yrs, who presented with penetrating eye injuries at the eye clinic of the University of Port Harcourt teaching Hospital, Rivers state, Nigeria between January 2002 and December 2009 were included. Information retrieved -patient’s Bio data, presenting symptoms, presenting visual acuity (VA), source of injury, surgical intervention and outcome using VA. All data analysed with EPI Info version 6 with the aid of a statistician.ResultsFolders of thirty-six children (36 eyes) between the ages of 0–18 years diagnosed with corneal laceration over a period of 8 years out of 65 cases managed within that period available. Other folders reported as missing. Male female ratio 3:1, the mean age is 8.7 years (SD ± 3.67). Only one presented within 24 hours. Objects causing injury mainly missiles with stones/catapult injuries (n = 8, 22.2%). Presenting VAs in those that could be measured, ranged from 6/24 to 6/60 (n = 4, 11%) to no light perception (NLP) (n = 5, 13.9%). Associated injuries include lid laceration, cataract, vitreous haemorrhage and retinal detachment. Twenty one patients had primary corneal repair (58.3%) carried out within 7 days of presentation. Four had endophthalmitis. After 3 months follow up, VA of 6/60 and better was achieved in 11 of 18 eyes left in follow up (6/60-6/24 in 8 eyes (22.2%), 6/18 and better in 3 eyes (8.3%).ConclusionMost eye injuries in children are preventable. In this study, the prognosis was better in those whose injuries were confined to a peripheral part of the cornea, with no other associated injury, who presented within 5 days and who did not have any intraocular infection at the time of presentation. The importance of health education, adult supervision of play and application of appropriate measures that is necessary for reducing the incidence and severity of trauma is emphasized.

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Posttraumatic Endophthalmitis

Cited by 51 publications

References 23 publications

Randomised controlled trial of prophylactic antibiotic treatment for the prevention of endophthalmitis after open globe injury at Groote Schuur Hospital

Randomised controlled trial of prophylactic antibiotic treatment for the prevention of endophthalmitis after open globe injury at Groote Schuur Hospital

The Timing of Reconstruction in Severe Mechanical Trauma

Pattern of paediatric corneal laceration injuries in the University of port Harcourt teaching hospital, Rivers state, Nigeria

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