title: [Bacillary endophthalmitis. Four case reports].
abstract: OBJECTIVE
  Bacillary endophthalmitis occurring after penetrating ocular trauma with an intraocular foreign body is always associated with poor visual outcome. Bacilli cause fulminant infection associated with tissue damage in the intraocular structures.
  
  
  METHODS
  Our series consisted of four patients with penetrating ocular trauma and endophthalmitis caused by B. cereus or B. licheniformis. Three eyes ultimately developed phtisis. Only on eye recovered good vision (2.5/10 P4).
  
  
  CONCLUSIONS
  Recommended early treatment includes topical, subconjunctival, parenteral antibiotics. A review of the literature indicates that intravitreal antibiotic infusion is crucial for sufficient concentration to control infection. Early vitrectomy is recommended in the management of endophthalmitis. Vitreous and intraocular foreign bodies should be cultured to identify pathogens and ascertain antibiotic susceptibilities.
authors.affiliation: Service d'Ophtalmologie, CHUR de Reims.
authors.forename: M F
authors.initials: MF
authors.lastname: Maucour
authors.forename: C
authors.initials: C
authors.lastname: Brugniart
authors.forename: A
authors.initials: A
authors.lastname: Ducasse
authors.forename: L
authors.initials: L
authors.lastname: Brasme
authors.forename: O
authors.initials: O
authors.lastname: Bajolet
mesh_terms: D000287:Administration, Topical; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016863:Bacillaceae Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D001409:Bacillus cereus; D002648:Child; D003131:Combined Modality Therapy; D009877:Endophthalmitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D015807:Eye Injuries, Penetrating / Q000150:complications*; D005260:Female; D006801:Humans; D007263:Infusions, Parenteral; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body
chemical_list: D000900:Anti-Bacterial Agents