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Traumatic endophthalmitis and the outcome after vitrectomy in young children

Ya-Li Zhou1,2, Yi-Xiao Wang1,2, Teng-Teng Yao1,2

  • 1Department of Ophthalmology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.

International Journal of Ophthalmology
|April 21, 2020
PubMed

Insights

Pediatric traumatic endophthalmitis often requires complex surgery, with many young children experiencing poor visual outcomes and retinal injury. Prevention of eye trauma in children remains crucial.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Trauma Care

Background:

  • Traumatic endophthalmitis in children presents unique challenges.
  • Early and effective surgical intervention is critical for visual preservation.

Purpose of the Study:

  • To evaluate the outcomes of pars plana vitrectomy (PPV) for pediatric traumatic endophthalmitis.
  • To assess the impact of surgical interventions on visual acuity and retinal attachment.

Main Methods:

  • A consecutive series of 22 pediatric eyes with traumatic endophthalmitis underwent 23-gauge PPV with intravitreal antibiotics.
  • Silicone oil or perfluoropropane gas tamponade was employed.
  • Outcomes included best-corrected visual acuity (BCVA) and retinal attachment.

Main Results:

  • Most cases involved penetrating ocular injury; bacterial cultures were positive in only 2 eyes.
  • Multiple surgical procedures were often required, with 7 eyes needing a third operation.
  • Final BCVA was poor in many cases (light perception to hand movement in 8 eyes); retinal injury and silicone oil tamponade correlated with worse outcomes.

Conclusions:

  • Pediatric traumatic endophthalmitis is severe, often necessitating complex, multi-stage surgical management.
  • Retinal injury significantly impacts visual prognosis.
  • Preventing ocular trauma in children is paramount.
Abstract

Keywords:
pars plana vitrectomypediatricpenetrating eye injurytraumatic endophthalmitis

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