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Pierre-Loic Cornut, Youssef Elbichara, François Vandenesch, Carole Burillon, Jean-Paul Romanet, Alain M. Bron, Gilles Thuret, Sandrine Boisset, Max Maurin, Christopher Chiquet; Friends Group: Post Trauma Endophthalmitis. Invest. Ophthalmol. Vis. Sci. 2011;52(14):5602.
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© ARVO (1962-2015); The Authors (2016-present)
To describe clinical, microbiological and prognostic characteritics of patients with trauma endophthalmitis.
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.
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.
Patients with trauma endophthalmitis.should be monitored closely in order to perform pars plana vitrectomy and to adapt the antibiotic therapy.
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