Post-traumatic Infectious Endophthalmitis

Endophthalmitis following open-globe injuries

“…5,14 The reported incidence rate of endophthalmitis following open-globe injury ranges from 0 to 16.5% (Table 1), with evidence of a general decline over the past 70 years. 4,6,12,[14][15][16][17][18][19][20][21][22][23][24] Prophylactic factors in the setting of trauma include primary wound repair within 24 h, lack of tissue prolapse into wounds and self-sealing wounds. 20 In a report from the American Trauma Registry, the incidence of endophthalmitis did not significantly differ among various types of foreign bodies.…”

Posterior Segment Intraocular Foreign Bodies: The Effect of Weight and Size, Early versus Late Vitrectomy, and Outcomes

“…[2,18,[20][21][22][23][24] The general consensus is that a delay in IOFB removal increases the risk for endophthalmitis. [24][25][26][27][28][29] In contrast to this view, Colyer and colleagues [30] have reported prompt wound closure and systemic antibiotics followed by delayed removal with no reported endophthalmitis. When we compared the groups that underwent IOFB removal within 48 hours (53%) and IOFB removal after 48 hours (47%) for initial incidence of endophthalmitis, there was no significant difference.…”

An alternative therapy for post-traumatic endophthalmitis: Preserving capsule and primary intraocular lens implantation combined complete vitrectomy

“…Some surgeons advocated a complete vitrectomy for eliminating bacteria as much as possible (Rahman et al, 2000), but the others advocated a more limited vitrectomy-core vitrectomy due to the risk of creating a retinal break (Bhagat et al, 2011), and causing hemorrhage (Donahue et al, 1993). However, Azad and coworkers, showed successful complete vitrectomy with the help of silicone oil tamponade in treating post-traumatic endophthalmitis (Azad et al, 2003).…”