Visual outcome in treatment of acute postoperative endophthalmitis

Retina ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ahmed B. Sallam ◽  
Mohamed K. Soliman
Keyword(s):  
Visual Outcome ◽  
Postoperative Endophthalmitis

scholarly journals The Outcome of Vitrectomy in Acute Postoperative Endophthalmitis

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Sindy Boru Sembiring ◽  
Yulia Aziza ◽  
Gitalisa Andayani Adriono
Keyword(s):  
Visual Acuity ◽  
Clinical Diagnosis ◽  
Hand Movement ◽  
Case Series ◽  
Visual Outcome ◽  
Advanced Technology ◽  
Postoperative Endophthalmitis ◽  
Light Perception ◽  
Retrospective Case ◽  
Retrospective Case Series

Introduction: Twenty years ago, the results of Endophthalmitis Vitrectomy Study (EVS) were adapted worldwide as the standard management of endophthalmitis. The study suggested that there was no benefit of performing vitrectomy for acute postoperative endophthalmitis, unless for patients who presents with visual acuity of light perception. However, vitrectomy with advanced technology and technique has been changed rapidly in the last decades; therefore, we need to reconsider its role. We conducted a study and the purpose of our study was to describe the indications for vitrectomy and the outcomes in acute postoperative endophthalmitis at Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Methods: Our study was a descriptive-retrospective case series. We reviewed clinical and microbiological records of all patients with clinical diagnosis of acute postoperative endophthalmitis who underwent vitrectomy in Cipto Mangunkusumo Hospital between 2007 and September 2015.  Presenting visual acuity, visual outcome and complications were described. Result: Our study was a descriptive-retrospective case series. We reviewed clinical and microbiological records of all patients with clinical diagnosis of acute postoperative endophthalmitis who underwent vitrectomy in Cipto Mangunkusumo Hospital between 2007 and September 2015.  Presenting visual acuity, visual outcome and complications were described. Conclusion: An eight-year experience has taught us that vitrectomy offers better treatment outcome in the group with visual acuity of hand movement than those who only had visual acuity of light perception.

Treatment of Postoperative Endophthalmitis

2014 ◽  
Vol 07 (02) ◽  
pp. 146
Author(s):  
Leopoldo Spadea ◽  
Keyword(s):  
Visual Outcome ◽  
Ocular Infection ◽  
Postoperative Endophthalmitis ◽  
Light Perception ◽  
Coagulase Negative Staphylococci ◽  
Therapeutic Success ◽  
Ocular Surgery ◽  
Gram Positive Bacteria ◽  
Initial Visual Acuity ◽  
Prompt Diagnosis

Endophthalmitis is a feared complication of trauma, surgical procedures, and septicemia. The rates of postoperative endophthalmitis have been low for many years, but recent reports suggest that this type of ocular infection may be on the rise. Fluctuations in the number of cases appear to correlate with the type of intraocular surgery performed. Postoperative endophthalmitis has been reported as a consequence of nearly every type of ocular surgery, but is most common following cataract surgery. Numerous reports have demonstrated that Gram-positive bacteria cause the vast majority of postoperative endophthalmitis cases. Coagulase-negative staphylococcal isolates are the most common. Most intraocular infections resulting from infection with coagulase-negative staphylococci can be treated with antibiotic and anti-inflammatory agents, resulting in restoration of partial or complete vision. However, the more virulent the bacterial strain, the more devastating the visual outcome. Intraocular infections withStaphyloccus aureus, enterococci,Bacillus, or Gram-negative strains are often intractable, and blindness or loss of the eye itself is not uncommon. The therapeutic success of treating postoperative endophthalmitis depends largely on accurate and prompt diagnosis. Antibiotic therapy can be topical, sub conjunctival, systemic, or intravitreal. Vitrectomy must be reserved for patients who present with initial visual acuity of light perception. Only in these cases has vitrectomy been shown to be more advantageous in terms of the intravitreal antibiotic injection.

scholarly journals Intravitreal injections as a leading cause of acute postoperative endophthalmitis—a regional survey in England

Eye ◽  
2021 ◽  
Author(s):  
Ariel Yuhan Ong ◽  
Axelle Rigaudy ◽  
Shafak Toufeeq ◽  
Julian Robins ◽  
Zaid Shalchi ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Absolute Risk ◽  
Vitreoretinal Surgery ◽  
Positive Culture ◽  
Visual Outcome ◽  
Intravitreal Injections ◽  
Postoperative Endophthalmitis ◽  
Regional Survey ◽  
Visual Outcomes ◽  
Clinical Records

Abstract Background To evaluate the characteristics, treatment patterns and outcomes of acute postoperative endophthalmitis. Methods Patients presenting with acute postoperative endophthalmitis between January 2017 to December 2019 were identified from hospital records in this multicentre retrospective cohort study. Clinical records were reviewed for visual acuity (VA) at various timepoints, cause of endophthalmitis, microbiological results, treatments and complications. Results Forty-six eyes of 46 patients were included. Intravitreal injections were the leading cause of acute postoperative endophthalmitis (n = 29; 63%), followed by cataract surgery (n = 8; 17%), vitreoretinal surgery (n = 7; 15%), and secondary intraocular lens insertion (n = 2, 4%). The absolute risk of endophthalmitis was 0.024% (1:4132) for intravitreal injections, 0.016% (1:6096) for cataract surgery, and 0.072% (1:1385) for vitreoretinal surgery. The majority of patients (n = 38; 83%) had better VA at 6 months compared to presentation, although fewer (n = 13; 28%) maintained similar or better VA compared to before the precipitating surgery. Twenty-four cases yielded positive culture results, of which staphylococcus epidermidis was the most commonly isolated organism. Microbiological yield was not associated with better final visual outcomes. Patients who underwent therapeutic vitrectomy (n = 15; 33%) had poorer VA at presentation, but subsequently achieved visual outcomes comparable to those who received medical treatment alone. There was no difference in time to presentation, visual outcome and retinal detachment rates among the different causative procedures. Conclusion Intravitreal injections were the most common cause of endophthalmitis in our region, primarily because of their higher frequency compared to other intraocular procedures. In this cohort, the primary procedure had no effect on presentation, management or visual outcomes.

scholarly journals Visual Outcome in Pars Plana Vitrectomy for Acute Postoperative Endophthalmitis after Cataract Surgery

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Abdul Rafio Soomro ◽  
Fayaz Ahmed Soomro ◽  
Munawar Hussain ◽  
Abdul Qadeem Soomro ◽  
Nazia Qidwai ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Pars Plana Vitrectomy ◽  
Visual Outcome ◽  
Final Visit ◽  
P Value ◽  
Postoperative Endophthalmitis ◽  
Chi Square ◽  
Finger Counting ◽  
Pars Plana

Purpose: To determine the visual outcomes in patients undergoing pars plana-vitrectomy (PPV) for acute postoperative endophthalmitis after cataract surgery.Study Design: Quasi experimental study.Place and Duration of Study: Al- Ibrahim Eye Hospital, Malir, Karachi for a period of 2 years.Material and Methods: Thirty-three patients were selected using non-probability convenient sampling technique.Patients with acute postoperative endophthalmitis after cataract surgery diagnosed clinically and on B-scan, withvisual acuity of only perception of light were included while patients with better visual acuity and any other typesof endophthalmitis were excluded. PPV was performed in all cases and the patients were examined postoperativelyon 1st day, 3rd day, 1, 2 and 3 weeks after surgery. During these follow ups, visual acuity wasrecorded, detailed slit lamp and fundus examination was performed. Using SPSS version 20.0, chi-square testwas applied to test for significance keeping p-value of < 0.05 as significant.Results: Out of 33 patients 19 (57.6%) were males and 14 (42.4%) were females. Mean age of the patients was54.50 ± 14.14 years. On 1st post-operative day 8 patients (24.2%) showed improvement of visual acuity fromperception of light to finger counting while 02 (6.1%) patients reported visual acuity of 6/60. On final visit at 3rdweek postoperatively, 19 patients (57.6%) had visual acuity of finger counting, 08 patients (24.2%) had handmovement and 06 (18.2%) patients reported a visual acuity of 6/60.Conclusion: PPV for acute post-cataract endophthalmitis results in favourable outcomes in terms of visual acuity.

Postoperative Visual Outcome in Patients of Parasellar Meningiomas

2015 ◽  
Vol 76 (S 01) ◽  
Author(s):  
Rajesh Chhabra ◽  
Satish Kumar ◽  
Sunil Gupta
Keyword(s):  
Visual Outcome

Spectrum of Visual Deficits Associated with Pituitary Adenoma and Factors Determining Visual Outcome in More Than 2,000 Eyes

2016 ◽  
Vol 77 (S 02) ◽  
Author(s):  
Sivashanmugam Dhandapani ◽  
Pinaki Dutta ◽  
Tenzin Gyurmey ◽  
Reema Bansal ◽  
Ashis Pathak ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Visual Outcome ◽  
Visual Deficits

TO ANALYZE THE EFFECT OF DAMAGE TO OTHER OCULAR TISSUES ON VISUAL OUTCOME AFTER TRAUMATIC CATARACT SURGERY.

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr. Mita V. Joshi ◽  
Dr. Sudhir Mahashabde
Keyword(s):  
Visual Outcome ◽  
Corneal Opacity ◽  
Research Centre ◽  
Traumatic Cataract ◽  
Visual Axis ◽  
College Hospital ◽  
Ocular Tissues ◽  
Department Of Ophthalmology ◽  
Ocular Injuries ◽  
Final Visual Outcome

All patient coming to Index Medical College Hospital & Research Centre, Indore operated in Department of Ophthalmology for traumatic cataract due to various injuries Result: Of the 37 patients, 19 patients (51%) showed corneal/ corneal sclera injury. 10 cases had injury to iris in the form of spincter tear, traumatic mydriasis, iris incarceration, floppy iris, posterior and anterior synechiae. Subluxation of lens was seen in 2 cases and Dislocation of lens was in 1 cases. 3 cases had corneal opacity. Old retinal detachment was seen in 1 (3%) case. Out of 30 cases who had associated ocular injuries, 3 cases had vision of HM, 07 cases had vision of CF-ctf – CF-3’, 01 cases had vision of 5/60, 07 cases had vision of 6/60-6/36, 03 cases had vision of 6/24-6/18, 09 cases had vision of 6/12-6/6. Out of 7 cases without associated in injury, 2 cases had vision of 6/24-6/18, 05 cases had vision of 6/12-6/6. Conclusion: Corneal scarring obstructing the visual axis as well as by inducing irregular astigmatism formed an important cause of poor visual outcome in significant number of cases. Irreversible posterior segment damage lead to impaired vision case. The final visual outcome showed good result however the final visual outcome depends upon the extent of associated ocular injuries. Effective Intervention and management are the key points in preventing monocular blindness due to traumatic cataract. Keywords: Ocular, Tissues, Traumatic, Cataract & Surgery.

Surgical treatment of postoperative endophthalmitis (eхperimental investigation)

2018 ◽  
pp. 48-50
Author(s):  
I.A. Frolychev ◽  
◽  
N.A. Pozdeyeva ◽  
L.V. Kolbovskaya ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Postoperative Endophthalmitis
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