Back to Search
Start Over
Clinico-microbiological Profile and Visual outcome in Traumatic Endophthalmitis following Pars Plana Vitrectomy at a Tertiary Eye Care Centre of Nepal
- Source :
- Journal of Nepal Medical Association, Vol 52, Iss 195 (2014)
- Publication Year :
- 2014
- Publisher :
- Nepal Medical Association, 2014.
-
Abstract
- Introduction: Endophthalmitis is a potentially devastating ocular complication of perforating eye injury where prompt intervention can save some vision. This study aims to explore the clinico-microbiologic profile and visual outcome following pars plana vitrectomy (PPV) in traumatic endophthalmitis. Methods: This is a retrospective interventional case series study conducted at a tertiary eye care centre of Nepal. A total of 49 consecutive cases (49 eyes) of endophthalmitis following PEI, who underwent PPV from January 2007 to June 2010 were included in the study. Results: Mean age was 14.7 years (S.D. 14.27). Twenty seven patients (55%) were of age group below 10 years. Male to female ratio was 2.75:1. Mean duration of presentation was 8.9 days. Nineteen eyes (36.73%) had injuries with wooden sticks, followed by injury with metallic objects in 16 patients (32.56%). PEI involving zone I was found in 31 eyes (63.25%). The retained intraocular foreign body was found in seven patients (14.2%). The post operative vision improved in almost 24 cases (49%) with visual recovery of 20/200 and better in six cases (12.24%). The vitreous culture was positive in five cases (12.8%) with predominant streptococcus pneumonia in four cases (10.25%). Conclusions: Children were the mostly affected group with males outnumbering females. Wooden sticks and metallic objects were the commonest insulting agents. Despite the late presentation and predominant zone I injury, eye could be salvaged in majority with visual recovery of 20/200 and better in six cases (12.24%). Keywords: endophthalmitis; intra-ocular foreign body; perforating eye injury; vitrectomy .
Details
- Language :
- English
- ISSN :
- 00282715 and 1815672X
- Volume :
- 52
- Issue :
- 195
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Nepal Medical Association
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.be7277535d3b4ac5b06fb90774c6dbd6
- Document Type :
- article
- Full Text :
- https://doi.org/10.31729/jnma.2709