[Bacillary endophthalmitis. Four case reports].
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.
Maucour
M F
MF
Service d'Ophtalmologie, CHUR de Reims.
Brugniart
C
C
Ducasse
A
A
Brasme
L
L
Bajolet
O
O
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
D000900:Anti-Bacterial Agents