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Related Experiment Videos

Paediatric post-traumatic endophthalmitis

D V Alfaro1, D B Roth, R M Laughlin

  • 1Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799, USA.

The British Journal of Ophthalmology
|October 1, 1995
PubMed
Summary
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Early, aggressive treatment can restore useful vision in children with post-traumatic endophthalmitis. Paediatric cases show different microbiology, with streptococcal species being the most common cause, unlike in adults.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Pediatrics

Background:

  • Post-traumatic endophthalmitis (PTE) is a severe intraocular infection following eye injury.
  • Understanding microbiological differences in pediatric PTE is crucial for effective management.

Purpose of the Study:

  • To analyze the microbiological characteristics of PTE in children.
  • To compare pediatric PTE microbiology with that of adult cases.

Main Methods:

  • Retrospective analysis of 12 pediatric PTE cases (ages 18 months to 13 years).
  • Microbiological cultures and analysis of causative organisms.
  • Review of treatment modalities, including vitrectomy, and visual outcomes.

Main Results:

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  • Streptococcal species (56.6%) and staphylococcal species (22.2%) were the most common isolates.
  • Gram-positive organisms were predominant (8/12 eyes).
  • Good visual acuity (≥20/200) was achieved in 66.7% of eyes.

    • Conclusions:

    • Early and aggressive treatment can lead to useful vision in pediatric PTE.
    • Pediatric PTE microbiology differs significantly from adult PTE, with streptococci being more prevalent.