Open AccessClinical and Microbiological Features of Pediatric Endopthalmitis After Open Globe Injury in the North of VietNam
Author(s) -
Tham Truong Khanh Van,
Do Nhu Hon,
Nguyễn Thị Ngọc Ánh,
Bui Thị Van Anh,
Do Quyet,
Van Thai Than,
Vu Thi Nga,
Nguyen Duy Bac
Publication year - 2019
Publication title -
open access macedonian journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.288
H-Index - 17
ISSN - 1857-9655
DOI - 10.3889/oamjms.2019.380
Subject(s) - medicine , endophthalmitis , gram staining , vitreous hemorrhage , etiology , vitrectomy , retinal detachment , liver abscess , quadrant (abdomen) , ophthalmology , surgery , abscess , visual acuity , pathology , retinal , antibiotics , microbiology and biotechnology , biology
BACKGROUND: Pediatric endophthalmitis after open-globe injury had its clinical features, microbiological profile different from those in aldults. In Viet Nam, there was no report on the clinical and microbiological characteristic of pediatric posttraumatic endophthalmitis. Therefore, we conduct this study.
AIM: To describe clinical features, ultrasound results, gram stain and culture results of endophthalmitis in pediatric open globe injuries.
METHODS: Prospective non-controlled study. Case series of 30 eyes presenting with post-traumatic endophthalmitis between 2015 and 2016 were reviewed.
RESULTS: Mean age was 8.03 ± 3.99 years. Metallic and organic etiologies were most common causes for injuries (n = 11). 27 cases had penetrating corneal trauma. Dense opaque vitreous was seen in 25 eyes. Retinal necrosis 1 quadrant were most common fundus lesions. Dense vitreous opacity on ultrasound was most common (n = 28). Gram stain bacteria positivity was 93.3%, gram-positive were isolated in 63.3%. Vitreous samples were more often positive than aqueous (P = 0,002).
CONCLUSION: Posttraumatic endophthalmitis in children is more common in boys aged 6-10 years and most often caused by injury with metallic and organic matter. Culture results were very low. Vitreous samples were more often positive than aqueous. Gram-positive bacteria were the most common causative organism.