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Posttraumatic endophthalmitis.

G S Brinton, T M Topping, R A Hyndiuk

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |April 1, 1984
    PubMed
    Summary
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    Posttraumatic endophthalmitis, an infection following eye injury, occurred in 7.4% of penetrating trauma cases. Bacillus species were uniquely identified in these trauma-related eye infections.

    Area of Science:

    • Ophthalmology
    • Infectious Diseases
    • Trauma Surgery

    Background:

    • Posttraumatic endophthalmitis is a severe intraocular infection following penetrating eye trauma.
    • It represents a significant cause of vision loss in trauma patients.
    • Understanding its incidence and causative organisms is crucial for effective management.

    Purpose of the Study:

    • To determine the incidence of posttraumatic endophthalmitis in patients with penetrating eye trauma.
    • To analyze the visual outcomes and microbial profiles of these cases.
    • To identify factors associated with a poor prognosis.

    Main Methods:

    • Retrospective review of 257 patients with penetrating eye trauma over an eight-year period.
    • Analysis of 61 cases of endophthalmitis to identify trauma-etiology.

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  • Culture and visual acuity assessment for all identified cases of posttraumatic endophthalmitis.

    • Main Results:

    • Nineteen cases (7.4%) of posttraumatic endophthalmitis were identified among 257 patients with penetrating trauma.
    • Trauma accounted for 31.1% of all endophthalmitis cases studied.
    • Final visual acuity was 20/200 or better in 42.1% of patients.
    • Bacillus species were exclusively found in posttraumatic endophthalmitis (26.3%).
    • Retinal breaks, detachments, or virulent organisms indicated poor prognosis.

    Conclusions:

    • Posttraumatic endophthalmitis is a notable complication of penetrating eye injuries.
    • Early identification of risk factors like virulent organisms or retinal damage is vital for improving outcomes.
    • The unique presence of Bacillus species warrants specific consideration in the microbiological diagnosis.