Título / Title

EPIDEMIOLOGICAL ANALYSIS OF POST PENETRANT TRAUMA RELATED ENDOPHTHALMITIS EVALUATED IN A TERTIARY BRAZILIAN HOSPITAL IN SIX YEARS

Introdução / Purpose

Endophthalmitis is a severe inflammatory ocular disease with profound vision commitment that may lead to irreversible vision loss and requires immediate treatment. Post-traumatic endophthalmitis incidence rate can reach 16.5%. Our study objective was to evaluate epidemiology of endophthalmitis cases related with penetrant ocular trauma, visual acuity during endophthalmitis and one year after, the presence or absence of intraocular foreign body (IOFB), material of intraocular foreign body and treatment.

Material e Método / Methods

Retrospective study that analyzed patients who underwent emergency evaluation and were submitted to intravitreous or anterior chamber collect due to acute endophthalmitis and compatible history of ocular penetrant trauma from January of 2012 to January of 2017, at Escola Paulista de Medicina. We compared patients age, gender, eye, time until first evaluation, cultures results, etiological agent, trauma mechanism, visual acuity during endophthalmitis episode and one year after endophthalmitis

Resultados / Results

453 patients with history of open globe trauma with or without intraocular foreign body. 30 patients (6.62%) presented clinical exam compatible with acute infectious endophtalmitis and positive vitreous or aqueous culture after open globe injure. Mean age of 42.26 years (7-80 years). All patients are male, with 11 cases involving right eye (36.66%) and 19 left eye (63.33%). Time between trauma and search for medical care ranged between 1 day in 36.66% of cases, 2 to 7 days in 43.44% of cases, 7 to 14 days in 10% of cases and more than 15 days in 10% of cases. 30 patients, twenty (66.66%) presented positive cultures. 5 of these 20 cultures of aqueous humor (40%), 17 of vitreous culture (85%) and 2 of both aqueous and vitreous positive culture (10%)

Discussão e Conclusões / Conclusion

This is the first Brazilian study that evaluate endophthalmitis cases after ocular trauma with intraocular foreign body, evaluated in a tertiary hospital.

Palavras Chave

endophthalmitis
epidemiology
trauma