Friends Group: Post Trauma Endophthalmitis

Abstract

Purpose: : To describe clinical, microbiological and prognostic characteritics of patients with trauma endophthalmitis.

Methods: : 17 patients (17 eyes) were prospectively included in four University Hospital between 2004 and 2010 (FRIENDS group). Clinical and microbiological data were recorded according standardized sheet. The minimum follow-up was 6 months for all patients.

Results: : Intraocular foreign bodies were noted in 52.9% of the cases. In average, 2.2±1.9 ocular samples were performed (aqueous humor 71%, vitreous 52.9%), leading to the identification of bacteria in 76.5% out of the cases: S. epidermidis (n=5,), Streptococcus (n=4, 2 S. pneumoniae, 1 S. salivarius, 1 S. oralis, 1 S. α Haemolyticus), Gemella haemolysans (n=1), Bacillus (n=2) and Gram negative bacteria (Pseudomonas stuzeri, n=1). Most patients (88%) patients were operated on using pars plana vitrectomy. The prognosis was poor in 35% of the cases (phthysis) and good in 41.2% of the cases (VA ≥20/40). The visual prognosis was divided in two subgroups, with either good or bad visual/anatomical prognosis. There was no relationship between prognosis and presence of IOFB, and the type of wound.

Conclusions: : Patients with trauma endophthalmitis.should be monitored closely in order to perform pars plana vitrectomy and to adapt the antibiotic therapy.

Keywords: endophthalmitis • trauma • inflammation