Objective: To assess the effectiveness of the different clinical treatments of traumatic endophthalmitis.Methods: This retrospective study included one eye of 73 patients diagnosed with traumatic endophthalmitis from November 2010 to July 2016 at Cangzhou Municipal Central Hospital. Forty-one patients were treated by vitrectomy and 32 immediately received intravitreal injection. For vitrectomy patients, 21 eyes received silicon oil tamponade, 9 eyes received C3F8 tamonade, and 11 eyes received
no tamponade. At the beginning of each vitrectomy, vitreous purulence was extracted for bacterial and fungal culture and for drug sensitivity. Results: During the following 6-24 months, two victrectomized eyes with silicon oil tamponade and one eye with intravitreal injection atrophied. Endophthalmitis was controlled for the remaining 70 eyes. Sixty-three strains of organisms were isolated from 58 eyes with traumatic endophthalmitis, including five eyes with polymicrobial infection. Among them, 39(62%)
were gram-positive, 13(21%) were fungi, and 11(18%) were gram-negative bacteria. The most common organisms were Staphylococcus epidermidis at 25% of the eyes, Aspergillus at 14%, and Staphylococcus aureus at 11%. Conclusions: For traumatic endophthalmitis, once confirmed, actions should be undertaken immediately. Vitrectomy and antimicrobials are both effective treatments.