a Shri Bhagwan Mahavir Vitreoretinal Services , Medical Reasearch Foundation , Chennai , India.
b Larsen & Toubro Microbiology Research Centre , Vision Research Foundation , Chennai , India.
Ocul Immunol Inflamm. 2018;26(4):543-549. doi: 10.1080/09273948.2017.1385816. Epub 2017 Oct 13.
To report Enterococcus faecalis endophthalmitis (EFE) in children and its comparison with adults.
Retrospective study of 19 children up to 18 years age, undergoing vitrectomy for EFE at a referral eye center from January 1995 to December 2015. The results were compared to 18 adults with EFE.
The mean age was 7.4 ± 3.06 years. Post-traumatic EFE was seen in 17 (89.4%) children (p < 0.05) versus postoperative EFE seen in 12 (66%) adults. Broomstick 9 (52.9%) and hypodermic needle injury 6 (35.2%) were common associations. "Optimum functional outcome" was achieved in 12 (63.1%) eyes of children and 5 (27.7%) eyes of adults (p = 0.03). Sealed and Zone II wounds, lens, and needle injuries had good outcome whereas intervention after 3 days and retinal detachment had poor outcomes (p < 0.05). The was no correlation with the Ocular Trauma Score.
EFE in children is rare; seen with broom stick and needle injuries, if managed early recovers optimum vision.
报告儿童肠球菌性眼内炎（EFE）及其与成人的比较。
回顾性研究 19 名年龄在 18 岁以下的儿童，他们在 1995 年 1 月至 2015 年 12 月期间因 EFE 在一家专科眼科中心接受玻璃体切除术。将结果与 18 名成人 EFE 患者进行比较。
平均年龄为 7.4±3.06 岁。17 名（89.4%）儿童为创伤后 EFE（p<0.05），而 12 名（66%）成人则为术后 EFE。常见的关联有扫帚柄 9 例（52.9%）和皮下注射针损伤 6 例（35.2%）。12 只（63.1%）儿童眼和 5 只（27.7%）成人眼达到“最佳功能结果”（p=0.03）。密封和 Zone II 伤口、晶状体和针伤的预后良好，而 3 天后进行干预和视网膜脱离的预后较差（p<0.05）。与眼外伤评分无相关性。
儿童 EFE 罕见；与扫帚柄和针伤有关，如果早期治疗，可以恢复最佳视力。
