Post-traumatic endophthalmitis

Post-traumatic endophthalmitis is a rare but serious complication of open globe injury, representing a major turning point for the patient's visual prognosis. Risk factors for this complication are lens capsule rupture, an intraocular foreign body, type of eye trauma and especially a delay in i...

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Veröffentlicht in:Journal francais d'ophtalmologie 2016-01, Vol.39 (1), p.98-106
Hauptverfasser: El Chehab, H, Renard, J-P, Dot, C
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container_title Journal francais d'ophtalmologie
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creator El Chehab, H
Renard, J-P
Dot, C
description Post-traumatic endophthalmitis is a rare but serious complication of open globe injury, representing a major turning point for the patient's visual prognosis. Risk factors for this complication are lens capsule rupture, an intraocular foreign body, type of eye trauma and especially a delay in initial management of the trauma. Although Staphylococcus epidermidis is the most common organism, as in postoperative acute endophthalmitis, other microorganisms are more frequently represented and the multi-microbial involvement is common. The diagnosis can be difficult in the presence of inflammatory signs of trauma. Aside from rapid globe repair, neither preventive nor curative treatment have been well delineated. The class of antibiotics, the dosage, route of administration, as well as surgical treatment by vitrectomy remain topics of discussion.
doi_str_mv 10.1016/j.jfo.2015.08.005
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subjects Adrenal Cortex Hormones - administration & dosage
Adrenal Cortex Hormones - therapeutic use
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Antifungal Agents - administration & dosage
Antifungal Agents - therapeutic use
Coinfection
Combined Modality Therapy
Drug Administration Routes
Endophthalmitis - diagnosis
Endophthalmitis - etiology
Endophthalmitis - microbiology
Endophthalmitis - therapy
Eye Foreign Bodies - complications
Eye Infections, Bacterial - diagnosis
Eye Infections, Bacterial - etiology
Eye Infections, Bacterial - microbiology
Eye Infections, Bacterial - therapy
Eye Infections, Fungal - diagnosis
Eye Infections, Fungal - etiology
Eye Infections, Fungal - microbiology
Eye Infections, Fungal - therapy
Eye Injuries - complications
Humans
Lacerations - complications
Retinal Detachment - complications
Risk Factors
Surgical Wound Infection - microbiology
Surgical Wound Infection - therapy
Vitrectomy
Wound Infection - etiology
Wound Infection - microbiology
Wound Infection - therapy
Wounds, Penetrating - complications
title Post-traumatic endophthalmitis
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