RESUMO
Bacterial endophthalmitis is rare in the neonatal period. It occurs in susceptible individuals such as preterm infants. Pseudomonas aeruginosa, a Gram-negative bacillus, has been identified as the causative organism in more than 75% of invasive neonatal eye infections. The source may be endogenous; secondary to septicemia or exogenous, including reports of nosocomial infections and those infections arising from the birth canal. We report the case of a preterm infant who developed pseudomonas endophthalmitis, septicemia, and meningitis after a corneal abrasion.
Assuntos
Endoftalmite/microbiologia , Recém-Nascido Prematuro , Infecções por Pseudomonas , Pseudomonas aeruginosa , Catarata/microbiologia , Lesões da Córnea , Endoftalmite/cirurgia , Evisceração do Olho , Dedos/patologia , Humanos , Recém-Nascido , Masculino , Meningites Bacterianas , Necrose , Infecções por Pseudomonas/etiologia , Infecções por Pseudomonas/patologia , Descolamento Retiniano/microbiologia , Sepse , Ferimentos e Lesões/complicaçõesRESUMO
PURPOSE: Hydroxyapatite orbital implants are buried implants that may be integrated into the overlying prosthesis after enucleation. We report problems encountered using these implants during a 14-year period in a pediatric population. METHODS: Retrospective analysis of a pediatric population from 1987 through 2001. RESULTS: Indications for enucleation (N = 19) included retinoblastoma (n =17), persistent hyperplastic primary vitreous (n =1), and painful blind eye (n =1). Conjunctival erosion (36.84%) and consequent implant exposure (15.70%) were the main problems identified in this study. There were no cases of orbital infection. Management included resuturing and scleral patching. CONCLUSION: Conjunctival erosion of hydroxyapatite implants contributed to significant morbidity in 19 children who underwent enucleation and hydroxyapatite orbital implant.
