Enterococcus faecalis Endophthalmitis in Children – A 21 Year Study. (19th May 2018)

• Record Type: Journal Article
• Authors: Rishi, Ekta; Rishi, Pukhraj; Bhende, Pramod; Raman, Rajiv; Sen, Parveen; Susvar, Pradeep; Rao, Chetan; Therese, Lily; Hirawat, Rajshri
• Is Part Of: Ocular immunology and inflammation. Volume 26:Number 4(2018)
• Page Start: 543
• Page End: 549
• Publication Date: 2018-05-19
• Subjects: Broom stick injury -- Children -- Endophthalmitis -- Enterococcus faecalis -- Hypodermic needle injury -- Post-traumatic endophthalmitis -- Self-sealing ocular wounds; Eye -- Diseases -- Immunological aspects -- Periodicals; Eye -- Inflammation -- Periodicals; 617.7
• DOI: 10.1080/09273948.2017.1385816
• Languages: English
• ISSNs: 0927-3948

Abstract

ABSTRACT: Purpose : To report Enterococcus faecalis endophthalmitis (EFE) in children and its comparison with adults. Methods : Retrospective study of 19 children up to 18 years age, undergoing vitrectomy for EFE at a referral eye center from January 1995 to December 2015. The results were compared to 18 adults with EFE. Results : The mean age was 7.4 ± 3.06 years. Post-traumatic EFE was seen in 17 (89.4%) children ( p < 0.05) versus postoperative EFE seen in 12 (66%) adults. Broomstick 9 (52.9%) and hypodermic needle injury 6 (35.2%) were common associations. "Optimum functional outcome" was achieved in 12 (63.1%) eyes of children and 5 (27.7%) eyes of adults ( p = 0.03). Sealed and Zone II wounds, lens, and needle injuries had good outcome whereas intervention after 3 days and retinal detachment had poor outcomes ( p < 0.05). The was no correlation with the Ocular Trauma Score. Conclusion : EFE in children is rare; seen with broom stick and needle injuries, if managed early recovers optimum vision.