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

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 retrosp...

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Main Authors: Tao Jiang, Jing Jiang, Renping Wang, Jianlin Lei, Yang Zhou
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:BioMed Research International
Online Access:http://dx.doi.org/10.1155/2017/5851318
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spelling doaj-cd72c42ac30b4a478e59888f684498db2020-11-24T22:35:00ZengHindawi LimitedBioMed Research International2314-61332314-61412017-01-01201710.1155/2017/58513185851318Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic EndophthalmitisTao Jiang0Jing Jiang1Renping Wang2Jianlin Lei3Yang Zhou4Department of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266003, ChinaThe Infectious Diseases Department, Eastern Branch of the Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266061, ChinaHealth Examination Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266003, ChinaTraditional Chinese Medicine Preparation, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shanxi Province 710004, ChinaDepartment of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266003, ChinaPurpose. 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.http://dx.doi.org/10.1155/2017/5851318
collection DOAJ
language English
format Article
sources DOAJ
author Tao Jiang
Jing Jiang
Renping Wang
Jianlin Lei
Yang Zhou
spellingShingle Tao Jiang
Jing Jiang
Renping Wang
Jianlin Lei
Yang Zhou
Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic Endophthalmitis
BioMed Research International
author_facet Tao Jiang
Jing Jiang
Renping Wang
Jianlin Lei
Yang Zhou
author_sort Tao Jiang
title Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic Endophthalmitis
title_short Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic Endophthalmitis
title_full Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic Endophthalmitis
title_fullStr Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic Endophthalmitis
title_full_unstemmed Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic Endophthalmitis
title_sort visual outcomes and prognostic factors after pars plana vitrectomy for traumatic endophthalmitis
publisher Hindawi Limited
series BioMed Research International
issn 2314-6133
2314-6141
publishDate 2017-01-01
description 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.
url http://dx.doi.org/10.1155/2017/5851318
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