Paediatric post-traumatic endophthalmitis
| Autor: | Munish Goyal, P E Liggett, D V Alfaro, R M Laughlin, D B Roth |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity Adolescent genetic structures Eye disease medicine.medical_treatment Visual Acuity Vitrectomy Eye Gram-Positive Bacteria Eye injuries Cellular and Molecular Neuroscience Eye Injuries Endophthalmitis Internal medicine Gram-Negative Bacteria medicine Humans Child Retrospective Studies business.industry Infant Retrospective cohort study medicine.disease eye diseases Sensory Systems Anti-Bacterial Agents Surgery Ophthalmology Treatment Outcome Drug Therapy Combination Female Phthisis bulbi medicine.symptom business Complication Research Article |
| Zdroj: | British Journal of Ophthalmology. 79:888-891 |
| ISSN: | 0007-1161 |
| DOI: | 10.1136/bjo.79.10.888 |
| Popis: | AIMS--A retrospective analysis of children with post-traumatic endophthalmitis was performed to determine if microbiological differences exist between this disease in the paediatric population compared with this disease in adults. METHOD--Twelve cases of post-traumatic endophthalmitis in children were analysed to determine characteristics of this disease in youth. Patient ages varied from 18 months to 13 years; the mean age was 8 years. Gram positive organisms were isolated in eight eyes, Gram negative organisms from four eyes, fungus from one eye, and negative cultures in three eyes. The most common isolates were streptococcal species (56.6%) and staphylococcal species (22.2%). Vitrectomy was performed on eight (66.7%) eyes. RESULTS--Visual acuity of 20/200 or better was obtained in eight eyes (66.7%). Three eyes had vision less than 5/200. One eye developed phthisis bulbi. Nine (75%) patients were younger than 10 years of age, and six (66.7%) of these nine obtained a final visual acuity of 20/200 or better. CONCLUSION--Useful vision can be obtained in children with post-traumatic endophthalmitis with early, aggressive treatment. The microbiology of paediatric post-traumatic endophthalmitis differs from adult disease with streptococcal species as the most common infecting organisms. |
| Databáze: | OpenAIRE |
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