13 research outputs found
Six-year epidemiological analysis of post traumatic endophthalmitis in a Brazilian hospital
Case 41: Zone I Open Globe Injury with Retained Corneal Foreign Body and Lens Capsule Violation
Anesthetic management of preschool children with penetrating eye injuries: postal survey of pediatric anesthetists and review of the available evidence
Management of endophthalmitis with retained intraocular foreign body
Aims To assess the impact of primary injection of intravitreal antibiotics and delayed pars plana vitrectomy with removal of intraocular foreign body (IOFB) in patients with clinical features of bacterial endophthalmitis and retained IOFB.
Methods Retrospective review of all patients with clinical features of infective endophthalmitis and a retained IOFB who had immediate injection of intravitreal antibiotics and delayed pars plana vitrectomy with removal of IOFB in two vitreo-retinal centres during 1995-2001. Nine patients were identified and minimum follow-up was 3 months.
Results Four of the nine patients had a final visual outcome of 6/18 or better. One patient developed total retinal detachment.
Conclusions The current series suggests that immediate injection of intravitreal antibiotics with delayed removal of IOFB in eyes with clinical features of infective endophthalmitis and a retained IOFB is a possible alternative to immediate removal of IOFB. This management may be associated with preservation of the eye and restoration of useful visual acuity
