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Related Experiment Videos

Microbial endophthalmitis resulting from ocular trauma.

J C Affeldt, H W Flynn, R K Forster

    Ophthalmology
    |April 1, 1987
    PubMed
    Summary

    Traumatic endophthalmitis, often caused by Bacillus, leads to poor vision outcomes. Fungal cases show better visual prognosis than bacterial cases, and retinal reattachment surgery can be successful for late-onset detachments.

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    Area of Science:

    • Ophthalmology
    • Infectious Diseases

    Background:

    • Endophthalmitis is a severe intraocular infection.
    • Ocular trauma is a significant risk factor for endophthalmitis.

    Purpose of the Study:

    • To review culture-positive endophthalmitis cases post-ocular trauma.
    • To analyze microbiologic spectrum and visual outcomes.
    • To assess the impact of retinal detachment on prognosis.

    Main Methods:

    • Retrospective review of 27 culture-positive endophthalmitis cases.
    • Analysis of intraocular culture results.
    • Evaluation of visual acuity and surgical outcomes.

    Main Results:

    • Bacillus sp was the most common isolate.

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  • Only 22% of patients achieved vision of 20/400 or better.
  • Fungal endophthalmitis had a better visual prognosis (80%) than bacterial (9%).
  • Initial retinal detachment/breaks led to poor prognosis.
  • Successful retinal reattachment surgery was possible for postoperative detachments.

    • Conclusions:

    • Traumatic endophthalmitis presents a virulent spectrum with poor visual outcomes.
    • Fungal etiology offers a better prognosis compared to bacterial.
    • Prompt management and surgical intervention for retinal detachment are crucial.