Culture-positive endophthalmitis after open globe injuries with and without retained intraocular foreign bodies

Tanuj Banker; Andrew J. McClellan; Benjamin D. Wilson; Fabiana M. Juan; Ajay Kuriyan; Nidhi Relhan; Felix V. Chen; Eric D. Weichel; Thomas A Albini; Audina Berrocal; Jay Sridhar; Ninel Gregori; Justin Townsend; Harry W Flynn

doi:10.3928/23258160-20170802-05

Culture-positive endophthalmitis after open globe injuries with and without retained intraocular foreign bodies

Tanuj Banker, Andrew J. McClellan, Benjamin D. Wilson, Fabiana M. Juan, Ajay Kuriyan, Nidhi Relhan, Felix V. Chen, Eric D. Weichel, Thomas A Albini, Audina Berrocal, Jay Sridhar, Ninel Gregori, Justin Townsend, Harry W Flynn

Ophthalmology

Research output: Contribution to journal › Article

7 Scopus citations

Abstract

BACKGROUND AND OBJECTIVE: To report the visual and anatomical outcomes and microbiologic spectrum of culture-positive endophthalmitis in open globe injuries (OGIs) with or without intraocular foreign bodies (IOFBs). PATIENTS AND METHODS: A retrospective, interventional case series of OGIs (n = 718) treated between 2004 and 2015. Patients underwent a management protocol for OGI, including systemic broad-spectrum antibiotics, on presentation. RESULTS: Culture-positive cases of endophthalmitis after open globe repair occurred in 2.1% of eyes (n = 15 of 718 eyes); two eyes had evidence of endophthalmitis on presentation. The most common organism was Staphylococcus species (five of 17 eyes). An IOFB was present in 6.8% of eyes (n = 49 of 718 eyes). All of these eyes received prophylactic intravitreal antimicrobials. In eyes with IOFB, the rate of culture-positive endophthalmitis after initial globe repair was 8.1% (n = 4 of 49 eyes) versus 1.6% (n = 11 of 669 eyes) in eyes without IOFB (P < .01). CONCLUSION: Culture-positive endophthalmitis was identified after OGIs more often in eyes with a concurrent IOFB.

Original language	English (US)
Pages (from-to)	632-637
Number of pages	6
Journal	Ophthalmic Surgery Lasers and Imaging Retina
Volume	48
Issue number	8
DOIs	https://doi.org/10.3928/23258160-20170802-05
State	Published - Aug 1 2017

ASJC Scopus subject areas

Surgery
Ophthalmology

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Banker, T., McClellan, A. J., Wilson, B. D., Juan, F. M., Kuriyan, A., Relhan, N., Chen, F. V., Weichel, E. D., Albini, T. A., Berrocal, A., Sridhar, J., Gregori, N., Townsend, J., & Flynn, H. W. (2017). Culture-positive endophthalmitis after open globe injuries with and without retained intraocular foreign bodies. Ophthalmic Surgery Lasers and Imaging Retina, 48(8), 632-637. https://doi.org/10.3928/23258160-20170802-05

Culture-positive endophthalmitis after open globe injuries with and without retained intraocular foreign bodies. / Banker, Tanuj; McClellan, Andrew J.; Wilson, Benjamin D.; Juan, Fabiana M.; Kuriyan, Ajay; Relhan, Nidhi; Chen, Felix V.; Weichel, Eric D.; Albini, Thomas A ; Berrocal, Audina; Sridhar, Jay; Gregori, Ninel ; Townsend, Justin ; Flynn, Harry W.

In: Ophthalmic Surgery Lasers and Imaging Retina, Vol. 48, No. 8, 01.08.2017, p. 632-637.

Research output: Contribution to journal › Article

Banker, T, McClellan, AJ, Wilson, BD, Juan, FM, Kuriyan, A, Relhan, N, Chen, FV, Weichel, ED, Albini, TA , Berrocal, A, Sridhar, J, Gregori, N , Townsend, J & Flynn, HW 2017, 'Culture-positive endophthalmitis after open globe injuries with and without retained intraocular foreign bodies', Ophthalmic Surgery Lasers and Imaging Retina, vol. 48, no. 8, pp. 632-637. https://doi.org/10.3928/23258160-20170802-05

Banker, Tanuj ; McClellan, Andrew J. ; Wilson, Benjamin D. ; Juan, Fabiana M. ; Kuriyan, Ajay ; Relhan, Nidhi ; Chen, Felix V. ; Weichel, Eric D. ; Albini, Thomas A ; Berrocal, Audina ; Sridhar, Jay ; Gregori, Ninel ; Townsend, Justin ; Flynn, Harry W. / Culture-positive endophthalmitis after open globe injuries with and without retained intraocular foreign bodies. In: Ophthalmic Surgery Lasers and Imaging Retina. 2017 ; Vol. 48, No. 8. pp. 632-637.

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abstract = "BACKGROUND AND OBJECTIVE: To report the visual and anatomical outcomes and microbiologic spectrum of culture-positive endophthalmitis in open globe injuries (OGIs) with or without intraocular foreign bodies (IOFBs). PATIENTS AND METHODS: A retrospective, interventional case series of OGIs (n = 718) treated between 2004 and 2015. Patients underwent a management protocol for OGI, including systemic broad-spectrum antibiotics, on presentation. RESULTS: Culture-positive cases of endophthalmitis after open globe repair occurred in 2.1% of eyes (n = 15 of 718 eyes); two eyes had evidence of endophthalmitis on presentation. The most common organism was Staphylococcus species (five of 17 eyes). An IOFB was present in 6.8% of eyes (n = 49 of 718 eyes). All of these eyes received prophylactic intravitreal antimicrobials. In eyes with IOFB, the rate of culture-positive endophthalmitis after initial globe repair was 8.1% (n = 4 of 49 eyes) versus 1.6% (n = 11 of 669 eyes) in eyes without IOFB (P < .01). CONCLUSION: Culture-positive endophthalmitis was identified after OGIs more often in eyes with a concurrent IOFB.",

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AU - Relhan, Nidhi

AU - Chen, Felix V.

AU - Weichel, Eric D.

AU - Albini, Thomas A

AU - Berrocal, Audina

AU - Sridhar, Jay

AU - Gregori, Ninel

AU - Townsend, Justin

AU - Flynn, Harry W

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N2 - BACKGROUND AND OBJECTIVE: To report the visual and anatomical outcomes and microbiologic spectrum of culture-positive endophthalmitis in open globe injuries (OGIs) with or without intraocular foreign bodies (IOFBs). PATIENTS AND METHODS: A retrospective, interventional case series of OGIs (n = 718) treated between 2004 and 2015. Patients underwent a management protocol for OGI, including systemic broad-spectrum antibiotics, on presentation. RESULTS: Culture-positive cases of endophthalmitis after open globe repair occurred in 2.1% of eyes (n = 15 of 718 eyes); two eyes had evidence of endophthalmitis on presentation. The most common organism was Staphylococcus species (five of 17 eyes). An IOFB was present in 6.8% of eyes (n = 49 of 718 eyes). All of these eyes received prophylactic intravitreal antimicrobials. In eyes with IOFB, the rate of culture-positive endophthalmitis after initial globe repair was 8.1% (n = 4 of 49 eyes) versus 1.6% (n = 11 of 669 eyes) in eyes without IOFB (P < .01). CONCLUSION: Culture-positive endophthalmitis was identified after OGIs more often in eyes with a concurrent IOFB.

AB - BACKGROUND AND OBJECTIVE: To report the visual and anatomical outcomes and microbiologic spectrum of culture-positive endophthalmitis in open globe injuries (OGIs) with or without intraocular foreign bodies (IOFBs). PATIENTS AND METHODS: A retrospective, interventional case series of OGIs (n = 718) treated between 2004 and 2015. Patients underwent a management protocol for OGI, including systemic broad-spectrum antibiotics, on presentation. RESULTS: Culture-positive cases of endophthalmitis after open globe repair occurred in 2.1% of eyes (n = 15 of 718 eyes); two eyes had evidence of endophthalmitis on presentation. The most common organism was Staphylococcus species (five of 17 eyes). An IOFB was present in 6.8% of eyes (n = 49 of 718 eyes). All of these eyes received prophylactic intravitreal antimicrobials. In eyes with IOFB, the rate of culture-positive endophthalmitis after initial globe repair was 8.1% (n = 4 of 49 eyes) versus 1.6% (n = 11 of 669 eyes) in eyes without IOFB (P < .01). CONCLUSION: Culture-positive endophthalmitis was identified after OGIs more often in eyes with a concurrent IOFB.

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