CLINICAL CHARACTERISTICS OF ENDOGENOUS ENDOPHTHALMITIS IN CHILDREN AT NATIONAL EYE HOSPITAL

Ngân Hà Nguyễn 1,2,, Minh Phú Nguyễn 2, Phú Trang Hưng Nguyễn 2
1 HMU
2 National Institute of Ophthalmology

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Abstract

Objective: To describe the clinical characteristics of endogenous endophthalmitis in children at National Eye Hospital. Methods: The study was conducted in children aged 0-18 years who were diagnosed and treated for endogenous endophthalmitis at National Eye Hospital from 1/1/2016  to 31/12/2020. Retrospective study described a series of diseases with a sample size of 162 patients. The medical records were collected and recorded information related to epidemiology, symptoms and signs. Results: The age group from 2-5 years old  highest proportion with 42%. The majority of patients reported blurred visioin (82,2%), eye pain (81,1%) and red eyes (68%). Corneal edema is the most common physical symptom with 88,9%, followed by hypopyon (74,1%) and pupillary discharge (43,8%). Vitreous humor was only observed in 45,7% of patients. Conclusion: Blurred vision, pain and red eyes are three most common symptoms. Endophthalmitis causes severe damage to intraocular structures. Corneal edema is a common sign which results in difficult to evaluate posterior lesions.

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References

1. Jackson TL, Eykyn SJ, Graham EM et al. (2003) Endogenous bacterial endophthalmitis: a 17-year prospective series and review of 267 reported cases. Survey of ophthalmology 48, 403-423.
2. Lim HW, Shin JW, Cho HY et al. (2014) Endogenous endophthalmitis in the Korean population: a six-year retrospective study. Retina 34, 592-602.
3. Cho H, Shin YU, Siegel NH et al. (2018) Endogenous endophthalmitis in the American and Korean population: an 8-year retrospective study. Ocular Immunology and Inflammation 26, 496-503.
4. Jackson TL, Paraskevopoulos T, Georgalas I (2014) Systematic review of 342 cases of endogenous bacterial endophthalmitis. Survey of Ophthalmology 59, 627-635.
5. Xuan LTK (2011) Đặc điểm lâm sàng và tác nhân gây viêm mủ nội nhãn nội sinh ở trẻ em Tạp chí Y học Thực hành 6, 15-18.
6. Van VTH (2019) Nghiên cứu đặc điểm lâm sàng, cận lâm sàng của viêm mủ nội nhãn tại bệnh viện Mắt Trung ương giai đoạn 2012 đến 2017, Luận văn Thạc sĩ Nhãn khoa, Trường Đại học Y Hà Nội.