Corps étranger intraoculaire et endophtalmie: facteurs de risque et prise en charge

This study aims to identify the risk factors for post-traumatic endophthalmitis (PTE) due to intraocular foreign body (IFB) in patients with penetrating injuries of the globe and to assess treatment outcomes. We conducted a descriptive, retrospective study of 60 patients hospitalized for penetrating wound due to intraocular foreign body at the Hedi Rais Institute of Ophthalmology, Tunis, over a period of 10 years. Our study involved the patients with penetrating ocular trauma due to intraocular foreign body associated with post-traumatic endophthalmitis. We also determined the clinical risk factors for endophthalmitis in these patients. We collected data from the medical records of 60 patients with penetrating injury due to intraocular foreign body. Clinical symptoms of endophthalmitis were reported in ten of these patients (16.66%). All IFBs were located in the posterior segment. Mean LogMAR visual acuity (VA) at baseline was 2.26. Final Mean LogMAR VA was 2.18. We found a statically significant correlation between the occurrence of endophthalmitis and the following factors: rural origin p=0.021, delays in removing IFB p=0.01, posterior location IFB p=0.012, capsule rupture p=0.022, associated retinal detachment p<0.0001. The identification of risk factors for post-traumatic endophthalmitis allow for better treatment adaptation and preventive measures of this complication to improve prognosis and quality of life.