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Post-traumatic endophthalmitis in children.

Ramesh Venkatesh1, Abhishek Prachi Dave, Prachi Gurav

  • 1Dr. Shroff 's Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, Delhi.

Nepalese Journal of Ophthalmology : a Biannual Peer-Reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH
|September 17, 2019
PubMed
Summary
This summary is machine-generated.

Pediatric post-traumatic endophthalmitis (PPTE) often results from wooden stick injuries and commonly involves Staphylococcus aureus. Early presentation and gram-positive bacterial identification correlate with better outcomes for this serious eye condition.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Pediatric Medicine

Background:

  • Pediatric post-traumatic endophthalmitis (PPTE) is a severe intraocular infection following eye trauma in children.
  • It poses a significant threat to ocular integrity and visual function, necessitating urgent management.
  • Understanding the clinico-microbiological profile is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the clinical and microbiological characteristics of pediatric post-traumatic endophthalmitis (PPTE).
  • To evaluate the functional and anatomical results following treatment for PPTE in pediatric patients.

Main Methods:

  • A retrospective interventional case series was conducted, reviewing medical records of PPTE patients from 2011-2015.
  • Data collected included patient demographics, trauma details, treatment interventions, and follow-up duration.
  • Functional and anatomical outcomes were assessed post-treatment.

Main Results:

  • Forty-one pediatric eyes with PPTE were analyzed, with boys being more commonly affected (26 vs 15).
  • Wooden stick injury was the most frequent cause (50%), and Staphylococcus aureus was the predominant organism (61% culture positivity).
  • Positive gram-positive cultures were associated with better anatomical (p=0.038) and functional (p=0.043) outcomes; 56.1% achieved optimal anatomical outcomes.

Conclusions:

  • Pediatric post-traumatic endophthalmitis (PPTE) is associated with poor visual and ocular prognosis.
  • Vegetative matter trauma, particularly from wooden sticks, and Staphylococcus aureus are common in pediatric cases.
  • Prompt presentation and identification of gram-positive organisms indicate a more favorable prognosis for PPTE.