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Published on: February 6, 2021
Pediatric endophthalmitis. A 10-year consecutive series
John E Thordsen1, Lindsey Harris, G Baker Hubbard
1Retina Service, Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia, USA.
Retina (Philadelphia, Pa.)
|February 12, 2009
Summary
Pediatric endophthalmitis, often caused by eye trauma or surgery, frequently leads to complications like retinal detachment. Despite treatment, visual outcomes remain poor in many cases.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Infectious Diseases
Background:
- Pediatric endophthalmitis is a severe intraocular infection.
- Understanding its causes and outcomes is crucial for effective management.
Purpose of the Study:
- To analyze the causes, microbiological findings, treatments, and visual results of pediatric endophthalmitis.
- To provide a 10-year review of cases at Emory University.
Main Methods:
- Retrospective chart review of pediatric endophthalmitis cases (1995-2005).
- Inclusion criteria: patients under 18 years old.
Main Results:
- Sixteen cases identified; ocular trauma (44%) and surgery (38%) were primary causes.
- Positive vitreous cultures in 56%, predominantly Gram-positive bacteria.
- Retinal detachment occurred in 38% of cases.
- Only 38% achieved visual acuity of 20/400 or better.
Conclusions:
- Penetrating ocular trauma and surgery are leading causes of pediatric endophthalmitis.
- Retinal detachment is a common complication.
- Aggressive treatment, including vitrectomy, yielded poor visual outcomes in this series.
