title: [Post-traumatic endophthalmitis].
abstract: Post-traumatic endophthalmitis is a rare but serious complication of open globe injury, representing a major turning point for the patient's visual prognosis. Risk factors for this complication are lens capsule rupture, an intraocular foreign body, type of eye trauma and especially a delay in initial management of the trauma. Although Staphylococcus epidermidis is the most common organism, as in postoperative acute endophthalmitis, other microorganisms are more frequently represented and the multi-microbial involvement is common. The diagnosis can be difficult in the presence of inflammatory signs of trauma. Aside from rapid globe repair, neither preventive nor curative treatment have been well delineated. The class of antibiotics, the dosage, route of administration, as well as surgical treatment by vitrectomy remain topics of discussion.
authors.affiliation: Service d'ophtalmologie, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France. Electronic address: elchehab_hussam@hotmail.fr.
authors.forename: H
authors.initials: H
authors.lastname: El Chehab
authors.affiliation: Service d'ophtalmologie, hôpital d'instruction des armées du Val-de-Grâce, Paris, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Renard
authors.affiliation: Service d'ophtalmologie, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Dot
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use; D060085:Coinfection; D003131:Combined Modality Therapy; D004333:Drug Administration Routes; D009877:Endophthalmitis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D005129:Eye Foreign Bodies / Q000150:complications; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology / Q000628:therapy; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology / Q000628:therapy; D005131:Eye Injuries / Q000150:complications*; D006801:Humans; D022125:Lacerations / Q000150:complications; D012163:Retinal Detachment / Q000150:complications; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000382:microbiology / Q000628:therapy; D014821:Vitrectomy; D014946:Wound Infection / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D014950:Wounds, Penetrating / Q000150:complications*
chemical_list: D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D000935:Antifungal Agents
keywords: Antibiothérapie; Antibiotic treatment; Corps étranger intra-oculaire; Endophtalmie post-traumatique; Intraocular foreign body; Open globe injury; Post-traumatic endophthalmitis; Prophylaxis; Traitement préventif; Traumatisme à globe ouvert