Abstract

PEREZ GARCIA, Diley; GUERRA GARCIA, Roberto Alejandro; RUA MARTINEZ, Raúl  and  LLERENA RODRIGUEZ, Jorge Alberto. Traumatic endophthalmitis. Rev Cubana Oftalmol [online]. 2012, vol.25, suppl.2, pp. 573-582. ISSN 0864-2176.

Endophthalmitis is a relatively uncommon but devastating complication of open globe injuries. It accounts for about 10 to 30 % of all infectious endophthalimitis, and is found more frequently in males (85 %) In the trauma setting, it amounts to 5 to 14 % of cases, but its incidence is higher when an intraocular foreign body is present (up to 30 %). The diagnosis and the management of traumatic endophthalmitis are challenging, due to its distinctive and aggravating characteristics that are related to a poor visual prognosis; therefore, an immediate customized therapeutic intervention is required. This topic was updated by presenting a protocol to treat these patients. Currently there is very limited information available about it, so extensive multicenter studies are needed to clarify some aspects of management. Nevertheless, the immediate emergency repairs as well as the use of topical, intravitreal and systemic antibiotics in addition to the early performance of the vitrectomy adapted to individual characteristics are suitable management strategies that determine the survival and the visual quality of the patients.

Keywords : traumatic endophthalmitis; ocular trauma.

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