Microbial Endophthalmitis Resulting from Ocular Trauma

John C. Affeldt, Harry W. Flynn, Richard K. Forster, Sid Mandelbaum, John G. Clarkson, Glen D. Jarus

Research output: Contribution to journalArticle

168 Scopus citations

Abstract

Twenty-seven cases of culture-positive endophthalmitis that developed after ocular trauma were reviewed. The intraocular culture specimens showed a virulent microbiologic spectrum with Bacillus sp as the most common isolate (8 eyes). The visual prognosis was poor, with only 22% of patients retained 20/400 or better vision. This level of vision was achieved in 2 of 22 (9%) bacterial cases and in four of five (80%) fungal cases. Retinal detachment (5 cases) or retinal breaks (2 cases) at the time of the initial injury had a uniformly poor visual prognosis. Postoperative retinal detachment not associated with phthisis bulbi occurred in five eyes, three of which had successful retinal reattachment surgery. Delayed onset retinal detachment after successful initial management of traumatic endophthalmitis had a greater frequency of successful retinal reattachment surgery.

Original languageEnglish (US)
Pages (from-to)407-413
Number of pages7
JournalOphthalmology
Volume94
Issue number4
DOIs
StatePublished - Jan 1 1987

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Keywords

  • endophthalmitis
  • phthisis bulbi
  • retinal detachment
  • trauma

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Affeldt, J. C., Flynn, H. W., Forster, R. K., Mandelbaum, S., Clarkson, J. G., & Jarus, G. D. (1987). Microbial Endophthalmitis Resulting from Ocular Trauma. Ophthalmology, 94(4), 407-413. https://doi.org/10.1016/S0161-6420(87)33447-5