title: Posttraumatic Endophthalmitis in children: Epidemiology, Diagnosis, Management, and Prognosis.
abstract: Pediatric posttraumatic endophthalmitis presents with great complexities and challenges arising due to delayed presentation, difficulty in eliciting an accurate history, or trauma with unusual and highly contaminated objects. The possibility of initial misdiagnosis as panuveitis, metastatic endophthalmitis, and masquerade syndrome is also very high, which results not only in several unwarranted investigations being performed, but also a delay in the initiation of treatment. The standard treatment remains primary repair of the wound, intravitreal therapy with broad spectrum antibiotics, and parsplana vitrectomy. Despite appropriate intervention, visual outcome in children with posttraumatic endophthalmitis is dampened by additional factors like poor compliance with postoperative instructions and high risk of amblyopia. Hence, it is important to recognize that posttraumatic endophthalmitis in children differs from that in adults in several ways. We made a very tailored effort to review the published literature pertaining to posttraumatic endophthalmitis in children and herein present the results of our search.
authors.affiliation: a Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences , New Delhi , India.
authors.forename: Pooja
authors.initials: P
authors.lastname: Bansal
authors.affiliation: a Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences , New Delhi , India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Venkatesh
authors.affiliation: a Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences , New Delhi , India.
authors.forename: Yograj
authors.initials: Y
authors.lastname: Sharma
mesh_terms: D019468:Disease Management; D009877:Endophthalmitis / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology; D014943:Global Health; D006801:Humans; D015994:Incidence; D011379:Prognosis; D012307:Risk Factors; D014792:Visual Acuity
keywords: Microorganisms; pediatric ocular trauma; penetrating eye injuries; prophylactic antibiotics; traumatic lens disruption; vitrectomy