Turkish Abstract Abstract Article PDF Similar Articles Mail to Author

¹Osmaniye Devlet Hastanesi, Göz Kliniği, Osmaniye, Uz. Dr.
²Gazi Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Ankara, Doç. Dr.
³Gazi Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Ankara, Prof. Dr. Purpose: To evaluate in pediatric endophthalmitis cases's the etiology, culture results, treatment and visual acuity of in our follow-up.
Materials and Methods: Medical records of endophthalmitis in patients younger than 16 years were reviewed retrospectively between 2000 to 2009 in our clinic. Demographic data, etiology, management techniques, vitreous culture results, presence of retinal detachment or intraocular foreign bodies, surgical procedures, initial and final visual acuity were examined.
Results: Fourteen cases of pediatric endophthalmitis were evaluated. Mean age of patients was 63±52.1 (3-180) months. Open ocular trauma was the most common etiology being in twelve cases (85.8%). endoftalmi tanısı yaralanmadan ortalama 10.9±16.1 (2-60) gün sonra konulabildi.After injury the mean time period was 10.9±16.1 (2-60) days, diagnosis of endophthalmitis was determined. All patients were treated with intravitreal (IV) vancomycin- ceftazidime injection. Toxocara could be detected in one of the two cases without trauma history. Five of 12 post-trauma cases (41.6%) had positive vitreous cultures all of which were Gram-positive species. Four cases (28.6%) had intraocular foreign body and eight cases (57.2%) had retinal detachments. The mean time period between realization of symptoms and vitreoretinal surgery was 19.9±17.3 (7-60) days. The mean follow-up time was 18.7±19.6 (3-72) months. The final visual acuity ranged between 0.1 and counting fingers in 5 cases, one case the phitisis bulbi developed, light perception was not determined this case.
Conclusions: Open ocular trauma is the most common cause of pediatric endophthalmitis and retinal detachment is a common and serious complication. Visual prognosis is poor despite aggressive management with antibiotics and vitrectomy. Keywords : Intravitreal injection, open ocular trauma, pediatric endophthalmitis, retinal detachment, vitrectomy