Original articlePost-traumatic endophthalmitis☆
Section snippets
Materials and methods
During the 3-year period January 1, 1998 to December 31, 2000, records of all patients prospectively identified to have post-traumatic endophthalmitis and treated at the Royal Victorian Eye and Ear Hospital, Melbourne, Australia, were added to a database. The diagnosis was based on the balance of clinical features and investigation results. Those cases felt to be infectious endophthalmitis by the managing retinal surgeon and added to the endophthalmitis database were regarded as post-traumatic
Results
During the 3-year study period there were 264 cases of open globe injury. In 6, there was insufficient information in the medical file for the cases to be included in the study. Seven patients underwent primary enucleation within 24 hours of their injury, and their cases have been excluded from the analysis, as it was not possible to say whether they would have developed endophthalmitis. This left a total of 251 open globe injuries in 250 people (1 bilateral blast injury) for analysis.
There
Discussion
Defining post-traumatic endophthalmitis is problematic. There are several published reports of case series.1, 5, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17 Some are limited to culture-positive cases, whereas others include culture-negative cases. Excluding culture-negative endophthalmitis would decrease the chance of eyes with traumatic uveitis being inappropriately included, but may miss some truly infected, although culture-negative, cases. Positive cultures do not always correlate with
Acknowledgements
The authors thank Dr Mary Jo Waters of the Department of Microbiology, St Vincent's Hospital, Melbourne, Australia, for assistance with microbiologic analysis and contributions to the article's content, and Dr J. Anderson for invaluable statistical advice and assistance.
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Manuscript no. 230372.
None of the authors has any financial interest in the contents of the article.