Comparison of causative microorganisms of posttraumatic endophthalmitis with and without retained intraocular foreign

Yao Yang1, Feng Mei1, Jiaqi Lin1

  • 1Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, 54 Xianlie Road, Guangzhou, 510060, China.

BMC Ophthalmology
|October 26, 2021
PubMed
Abstract

Insights

This study found that patients with posttraumatic endophthalmitis and intraocular foreign bodies (IOFBs) were older males. Gram-positive bacilli were more prevalent, while fungi were less common in patients with IOFBs.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Posttraumatic endophthalmitis is a severe ocular infection often associated with intraocular foreign bodies (IOFBs).
  • Understanding the demographic and microbial profiles of these patients is crucial for effective management.

Purpose of the Study:

  • To characterize the demographic features of patients with clinically diagnosed posttraumatic endophthalmitis.
  • To identify and analyze the causative microorganisms in patients with and without IOFBs.

Main Methods:

  • Retrospective analysis of 1257 patients with posttraumatic endophthalmitis.
  • Data collected from Zhongshan Ophthalmic Center between January 2013 and August 2020.
  • Comparison of demographic and microbial data between patients with and without IOFBs.

Main Results:

  • 452 (36.0%) patients had IOFBs.
  • Patients with IOFBs were predominantly male and older compared to those without IOFBs.
  • Gram-positive cocci and Gram-negative bacilli were common pathogens. Gram-positive bacilli (including Bacillus spp.) were more frequent in the IOFB group (17.9% vs. 9.4%), while fungi were less common (8.0% vs. 15.6%).

Conclusions:

  • Intraocular foreign bodies in endophthalmitis are associated with older male patients.
  • The microbial spectrum differs, with a higher prevalence of Gram-positive bacilli and a lower prevalence of fungi in patients with IOFBs.