ArticleInternational ophthalmology2026
Post-traumatic ınfectious keratitis: clinical, microbiological, and visual outcomes.
Article in International ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aims to evaluate the demographic, etiological, clinical and microbiological characteristics of patients diagnosed with post-traumatic infectious keratitis and to assess treatment outcomes.
methodsA retrospective analysis was conducted on 30 patients diagnosed with post-traumatic infectious keratitis between 2016 and 2024 at a tertiary ophthalmology clinic. Data on demographics, mechanisms of injury, timing of presentation, clinical findings, microbiological results, treatment modalities and visual outcomes were reviewed.
resultsThe mean age was 54.45 ± 18.06 years, with a distinct seasonal peak during the harvest period (July-September). Agricultural injuries (plant material, soil, and metal) were the primary causes. Corneal scraping cultures were positive in 8 patients (26.7%). Despite the relatively low culture positivity rate, likely due to prior antimicrobial therapy (33.3%), favorable visual outcomes (final visual acuity ≥ 0.5) were achieved in 66.7% of patients following prompt empirical antimicrobial therapy, with a mean final visual acuity of 0.71 ± 0.24.
conclusionPost-traumatic infectious keratitis is a significant occupational hazard, particularly during harvest seasons. Our study suggests that even when microbiological yield is low, prompt initiation of empirical fortified antibiotic therapy may result in favorable visual outcomes.
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