I.A. FROLYCHEV¹, N.A. POZDEYEVA^1,2, D.V. SYCHEVA², I.N. GRIGORIYEVA¹, L.V. KOLBOVSKAYA³

¹Cheboksary Branch of S. Fyodorov Eye Microsurgery Federal State Institution, 10 Traktorostroiteley Ave., Cheboksary, Russian Federation, 428028

²Postgraduate Doctors’ Training Institute of the Ministry of Healthcare of Chuvash Republic, 27 Mikhail Sespel’ Str., Cheboksary, Russian Federation, 428018

³City Hospital №1 of the Ministry of Healthcare of Chuvash Republic, 10 9 Pyatiletki Ave., Cheboksary, Russian Federation, 428028

  Frolychev I.A. ― Researcher, tel.: (8352) 49-24-13, e-mail: ivan-f@yandex.ru

Pozdeyeva N.A. ― D. Med. Sc., Deputy Director on Scientific Issues, Professor of the Ophthalmology Course, tel. (8352) 364696, e-mail: npozdeeva@mail.ru

Sycheva D.V. ― Resident of the Ophthalmology Course, tel. (8352) 36-46-87, e-mail: darya.sychyova.94@mail.ru

Grigorieyva I.N. ― ophthalmologist, tel. (8352) 52-05-75, e-mail: grigir09@mail.ru

Kolbovskaya L.V. ― Head of the Bacteriology Laboratory, tel. (8352) 23-55-91, e-mail: kolbovskayal@mail.ru

Despite the availability of a wide range of antibacterial medications, endophthalmitis is considered a severe complication in ophthalmology. Children are highly reactive to damaging influences, both in case of penetrating injuries and after surgeries. That is why posttraumatic inflammatory complications, such as endophthalmitis, progress faster in children. This article represents an analysis of posttraumatic endophthalmitis in a 8 year old child after a penetrating injury with a branch. Bacteriologic investigation during treatment showed a disease causative agent Staphylococcus epidermidis of metycillin-resistant strain. Despite surgical treatment and intensive antibacterial therapy, taking into account the identified microflora, the visual functions of this patient were not preserved. Taking into consideration the crescent impetuous intraocular inflammation with panophthalmitis development with pus melting of cornea and sclera, eyeball evisceration was undertaken. In the course of bacteriologic and mycologic examination of eye removed tissues, Staphylococcus epidermidis metycillin-resistant strain and Aspergillus mould fungi were identified. The insufficient initial surgical treatment of wound and further intraocular lens implantation at early stages after trauma led to unmanageable inflammatory consequences.

Key words: posttraumatic endophthalmitis, infant traumatism, penetrating eye wound, metycillin-resistant Staphylococcus.

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