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Published on: February 6, 2021
Posttraumatic endophthalmitis: report No. 2
Hooshang Faghihi1, Fedra Hajizadeh, Mohammad Riazi Esfahani
1Department of Ophthalmology, Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.
Retina (Philadelphia, Pa.)
|July 22, 2011
Summary
Posttraumatic endophthalmitis risk is higher in open-globe injuries involving needles, intraocular foreign bodies, or lens rupture. Immediate treatment is crucial for high-risk patients with penetrating trauma.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Open-globe injuries are a significant cause of vision loss.
- Posttraumatic endophthalmitis is a severe complication that can lead to poor visual outcomes.
Purpose of the Study:
- To identify predisposing factors for endophthalmitis in patients with open-globe injuries.
Main Methods:
- Retrospective study of 2,340 patients with open-globe injuries over 5 years.
- Comparison of patients who developed endophthalmitis with those who did not.
Main Results:
- Endophthalmitis incidence was 5.1% (117 eyes).
- Higher risk associated with needle-related trauma (22.2%), intraocular foreign bodies (9.3%), pure corneal injuries (6.8%), and traumatic lens rupture (7.1%).
- Longer delay between injury and surgery (2.1 days) and lower ocular trauma scores were linked to endophthalmitis.
Conclusions:
- Needle-related injuries, intraocular foreign bodies, traumatic lens rupture, smaller wounds, and corneal injuries are risk factors for posttraumatic endophthalmitis.
- Lower ocular trauma scores indicate a poorer visual prognosis.
- Prompt management is recommended for high-risk patients.
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