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BOOK TITLE: Retina: Medical and Surgical Management
Endophthalmitis is a vision-threatening complication of open globe injury and intraocular infections are commonly associated with vitreous exudation after an open globe injury. Post-traumatic endophthalmitis comprises 25–31% of all cases of infectious endophthalmitis. Post-traumatic endophthalmitis has a very devastating course compared to postoperative endophthalmitis due to many factors such as associated comorbidities, virulence of microorganisms due to contamination and possible delay in diagnosis and management. This chapter covers the risk factors, etiology, clinical features and diagnosis, treatment, and prognosis. Penetrating ocular trauma is characterized by a painful diminution of visual acuity. Other symptoms include redness, watering with or without purulent discharge and photophobia. The prognosis of post-traumatic endophthalmitis is usually poor and maybe devastating even after aggressive management. Most important factors contributing to this are the high virulence of organisms, easier access of intraocular tissues to microbes, higher chances of wound contamination, and presence of IOFB acting as a nidus of infection.
Sandra Frazier Byrne, Ronald l. Green
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AK Khurana, Aruj K Khurana
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AK Khurana, Aruj K Khurana, Bhawna P Khurana
PK Mukherjee
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