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Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic Endophthalmitis.

Abstract Purpose. To evaluate visual outcomes and identify prognostic factors after pars plana vitrectomy (PPV) surgery for traumatic endophthalmitis. Methods. Medical records of 121 consecutive patients (121 eyes) diagnosed with traumatic endophthalmitis that had undergone pars plana vitrectomy were retrospectively reviewed. Results. 121 patients, aged from 6 to 71 years, all underwent PPV surgery. 113 cases had improved best corrected visual acuity (BCVA) after surgery and 60% of them obtained BCVA better than fingers counting (FC). Good final visual prognosis was significantly associated with time between trauma and initial treatment less than 12 hrs (40% versus 98%; P < 0.001), time between trauma and PPV treatment less than 24 hrs (62% versus 98%; P < 0.001), laceration length less than 10 mm (63% versus 96%; P < 0.001), and presenting VA better than LP (42% versus 96%; P < 0.001), while gender, type of laceration, presence of IOFB or retinal detachment, and the use of silicone oil tamponade were not significant factors resulting in better BCVA. Bacteria were identified in 43.8% of specimens and most of the microorganisms were identified as nonvirulent ones. Conclusions. Pars plana vitrectomy surgery was preferred as a primary treatment option for traumatic endophthalmitis. A good final visual prognosis was significantly associated with timely treatment, prompt vitrectomy surgery, shorter length of laceration, and better presenting visual acuity.
PMID
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Authors

Mayor MeshTerms

Vitrectomy

Keywords
Journal Title biomed research international
Publication Year Start




PMID- 28246599
OWN - NLM
STAT- MEDLINE
DA  - 20170301
DCOM- 20170313
LR  - 20170313
IS  - 2314-6141 (Electronic)
VI  - 2017
DP  - 2017
TI  - Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic 
      Endophthalmitis.
PG  - 5851318
LID - 10.1155/2017/5851318 [doi]
AB  - Purpose. To evaluate visual outcomes and identify prognostic factors after pars
      plana vitrectomy (PPV) surgery for traumatic endophthalmitis. Methods. Medical
      records of 121 consecutive patients (121 eyes) diagnosed with traumatic
      endophthalmitis that had undergone pars plana vitrectomy were retrospectively
      reviewed. Results. 121 patients, aged from 6 to 71 years, all underwent PPV
      surgery. 113 cases had improved best corrected visual acuity (BCVA) after surgery
      and 60% of them obtained BCVA better than fingers counting (FC). Good final
      visual prognosis was significantly associated with time between trauma and
      initial treatment less than 12 hrs (40% versus 98%; P &lt; 0.001), time between
      trauma and PPV treatment less than 24 hrs (62% versus 98%; P &lt; 0.001), laceration
      length less than 10 mm (63% versus 96%; P &lt; 0.001), and presenting VA better than
      LP (42% versus 96%; P &lt; 0.001), while gender, type of laceration, presence of
      IOFB or retinal detachment, and the use of silicone oil tamponade were not
      significant factors resulting in better BCVA. Bacteria were identified in 43.8%
      of specimens and most of the microorganisms were identified as nonvirulent ones. 
      Conclusions. Pars plana vitrectomy surgery was preferred as a primary treatment
      option for traumatic endophthalmitis. A good final visual prognosis was
      significantly associated with timely treatment, prompt vitrectomy surgery,
      shorter length of laceration, and better presenting visual acuity.
FAU - Jiang, Tao
AU  - Jiang T
AUID- ORCID: 0000-0002-1280-2831
AD  - Department of Ophthalmology, The Affiliated Hospital of Qingdao University,
      Qingdao, Shandong Province 266003, China.
FAU - Jiang, Jing
AU  - Jiang J
AUID- ORCID: 0000-0002-7379-6738
AD  - The Infectious Diseases Department, Eastern Branch of the Affiliated Hospital of 
      Qingdao University, Qingdao, Shandong Province 266061, China.
FAU - Wang, Renping
AU  - Wang R
AUID- ORCID: 0000-0002-1368-5243
AD  - Health Examination Center, The Affiliated Hospital of Qingdao University,
      Qingdao, Shandong Province 266003, China.
FAU - Lei, Jianlin
AU  - Lei J
AUID- ORCID: 0000-0002-8064-8856
AD  - Traditional Chinese Medicine Preparation, The Second Affiliated Hospital of Xi'an
      Jiaotong University, Xi'an, Shanxi Province 710004, China.
FAU - Zhou, Yang
AU  - Zhou Y
AUID- ORCID: 0000-0002-8062-0212
AD  - Department of Ophthalmology, The Affiliated Hospital of Qingdao University,
      Qingdao, Shandong Province 266003, China.
LA  - eng
PT  - Journal Article
DEP - 20170126
PL  - United States
TA  - Biomed Res Int
JT  - BioMed research international
JID - 101600173
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Child
MH  - Endophthalmitis/microbiology/physiopathology/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Treatment Outcome
MH  - Visual Acuity
MH  - *Vitrectomy
MH  - Wounds and Injuries/microbiology/physiopathology/*surgery
MH  - Young Adult
PMC - PMC5299176
COI - The authors declare that they have no competing interests.
EDAT- 2017/03/02 06:00
MHDA- 2017/03/14 06:00
CRDT- 2017/03/02 06:00
PHST- 2016/03/02 [received]
PHST- 2016/08/08 [revised]
PHST- 2016/08/18 [accepted]
AID - 10.1155/2017/5851318 [doi]
PST - ppublish
SO  - Biomed Res Int. 2017;2017:5851318. doi: 10.1155/2017/5851318. Epub 2017 Jan 26.

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