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Pediatric endophthalmitis-associated penetrating ocular trauma: A single-center retrospective study
Alireza Dehghani1, Heshmatollah Ghanbari1, Mohammadreza Akhlaghi1
1Department of Ophthalmology, Isfahan Eye Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Pediatric penetrating ocular trauma can lead to endophthalmitis. This study found wood was the most common cause in children, highlighting the need for injury prevention strategies.
Area of Science:
- Ophthalmology
- Pediatric Trauma
- Infectious Disease
Background:
- Penetrating ocular trauma presents a significant threat to children's vision.
- Endophthalmitis is a severe complication of such injuries.
Purpose of the Study:
- To characterize the clinical and epidemiological aspects of endophthalmitis following penetrating ocular trauma in pediatric patients.
Main Methods:
- A retrospective, single-center review of medical records.
- Analysis of cases diagnosed with endophthalmitis-associated penetrating ocular trauma over a 5-year period.
Main Results:
- 13 cases (3.5%) of endophthalmitis were identified among 375 pediatric penetrating ocular injuries.
- The majority of affected children were male preschoolers; wood was the most frequent cause (38.5%).
- Visual acuity was severely impaired, often to hand motion or count fingers.
Conclusions:
- Accidental events are the primary cause of open-globe injuries and endophthalmitis in children.
- Enhanced preventive measures are crucial to reduce the incidence of perforating eye injuries and subsequent endophthalmitis.
Background:
Penetrating ocular trauma is a severe form of eye injury in children. The purpose of this study is to describe the clinico-epidemiological features of endophthalmitis-associated penetrating ocular trauma in children.
Materials And Methods:
In this single-center retrospective study, the medical records of children diagnosed with endophthalmitis-associated ocular penetrating trauma were reviewed during the 5-year study period.
Results:
From 375 cases of children with penetrating ocular injuries, 13 cases (3.5%) of endophthalmitis following penetrative ocular trauma were identified. The patients' ages ranged from 4 to 18 years. The majority of children were male (69.2%) in preschool age. The most common source of penetration was wood, which accounted for 5 of 13 cases (38.5%), followed by knife and then wire. An intraocular foreign body was detected in three cases of endophthalmitis. Most patients had visual acuity of hand motion or count fingers.
Conclusions:
Most open-globe injuries and associated endophthalmitis in this study are related to accidental events. More consideration should be taken in attempting to prevent perforating ocular injuries and the consequence of endophthalmitis in children.
