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Enterococcus faecalis Endophthalmitis in Children - A 21 Year Study

Ekta Rishi1, Pukhraj Rishi1, Pramod Bhende1

  • 1a Shri Bhagwan Mahavir Vitreoretinal Services , Medical Reasearch Foundation , Chennai , India.

Ocular Immunology and Inflammation
|October 14, 2017
PubMed

Insights

Enterococcus faecalis endophthalmitis (EFE) is rare in children, often resulting from traumatic injuries like broomstick or needle accidents. Early management of pediatric EFE significantly improves visual outcomes compared to adults.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Pediatric Medicine

Background:

  • Enterococcus faecalis endophthalmitis (EFE) is a severe intraocular infection.
  • Pediatric cases of EFE are infrequently reported, necessitating further investigation into their unique characteristics and outcomes.

Purpose of the Study:

  • To document the incidence and clinical features of Enterococcus faecalis endophthalmitis (EFE) in pediatric patients.
  • To compare the outcomes of EFE in children versus adults.

Main Methods:

  • A retrospective analysis was conducted on 19 pediatric patients (≤18 years) who underwent vitrectomy for EFE.
  • Data from these pediatric cases were compared with those of 18 adult patients with EFE treated between January 1995 and December 2015.

Main Results:

  • Post-traumatic EFE predominated in children (89.4%), frequently associated with broomstick (52.9%) and needle (35.2%) injuries.
  • Pediatric patients achieved significantly better "optimum functional outcome" (63.1%) compared to adults (27.7%).
  • Factors associated with poor outcomes included delayed intervention (>3 days) and retinal detachment, irrespective of the Ocular Trauma Score.

Conclusions:

  • Enterococcus faecalis endophthalmitis (EFE) in children is uncommon and typically linked to specific trauma types.
  • Prompt diagnosis and management of pediatric EFE are crucial for achieving favorable visual recovery.
Abstract

Keywords:
Broom stick injuryChildrenEndophthalmitisEnterococcus faecalisHypodermic needle injuryPost-traumatic endophthalmitisSelf-sealing ocular wounds

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