title: Posttraumatic endophthalmitis: report No. 2.
abstract: OBJECTIVE
  To study predisposing factors of endophthalmitis in patients with open-globe injury.
  
  
  METHODS
  All 2,340 patients with open-globe injury admitted to our center over 5 years were studied retrospectively, and patients with endophthalmitis were compared with other patients.
  
  
  RESULTS
  The number of endophthalmitis cases among patients with open-globe injury was 117 eyes, accounting for an incidence of 5.1%. The risk of endophthalmitis was significantly higher among male patients with pure corneal injuries (6.8%), intraocular foreign bodies (9.3%), traumatic lens rupture (7.1%), trauma resulting from needles (22.2%), and shorter lacerations. The existence of hyphema or iris prolapse was associated with lower rates of endophthalmitis. The mean gap between injury time and operation time was longer in the endophthalmitis group (2.1 ± 1.8 vs. 1.1 ± 1.3 days). Patients with endophthalmitis had significantly lower ocular trauma scores compared with other patients.
  
  
  CONCLUSIONS
  Posttraumatic endophthalmitis is more likely among patients with open-globe injury that are needle related and among those who have intraocular foreign bodies, traumatic lens rupture, smaller wounds, or wounds exclusively in the cornea. Lower ocular trauma scores in this group of patients with penetrating trauma indicated a greater risk of poor visual prognosis. Therefore, it is suggested that necessary measures and immediate treatment be undertaken in high-risk patients.
authors.affiliation: Department of Ophthalmology, Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.
authors.forename: Hooshang
authors.initials: H
authors.lastname: Faghihi
authors.forename: Fedra
authors.initials: F
authors.lastname: Hajizadeh
authors.forename: Mohammad Riazi
authors.initials: MR
authors.lastname: Esfahani
authors.forename: Seyed Ahmed
authors.initials: SA
authors.lastname: Rasoulinejad
authors.forename: Alireza
authors.initials: A
authors.lastname: Lashay
authors.forename: Ahmad
authors.initials: A
authors.lastname: Mirshahi
authors.forename: Reza
authors.initials: R
authors.lastname: Karkhaneh
authors.forename: Ali
authors.initials: A
authors.lastname: Tabatabaey
authors.forename: Mehdi
authors.initials: M
authors.lastname: Khabazkhoob
authors.forename: Shaahin
authors.initials: S
authors.lastname: Faghihi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D009877:Endophthalmitis / Q000209:etiology* / Q000628:therapy; D005129:Eye Foreign Bodies / Q000150:complications*; D015807:Eye Injuries, Penetrating / Q000150:complications*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents