Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year Period
Purpose. To evaluate the outcome and identify the prognostic factors of traumatic endophthalmitis over a 5-year period. Methods. We reviewed the medical records of all the traumatic endophthalmities that we treated in our department over the last 5 years (2009–2013). We extracted the following param...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2014/747015 |
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| author | Simona Delia Nicoară Iulian Irimescu Tudor Călinici Cristina Cristian |
| author_facet | Simona Delia Nicoară Iulian Irimescu Tudor Călinici Cristina Cristian |
| author_sort | Simona Delia Nicoară |
| collection | DOAJ |
| description | Purpose. To evaluate the outcome and identify the prognostic factors of traumatic endophthalmitis over a 5-year period. Methods. We reviewed the medical records of all the traumatic endophthalmities that we treated in our department over the last 5 years (2009–2013). We extracted the following parameters: age, gender, wound anatomy, associated ocular lesions, treatment, and initial and final visual acuities. We used the program SPSS version 20.0.0. for the statistical analysis of our data. Results. During the last 5 years, we treated 14 traumatic endophthalmities, representing 46.66% of all types of endophthalmities. The infection rate in open globe injuries was 8.13% and 34.78%, if an intraocular foreign body (IOFB) was associated. All the patients were males with the median age of 37 years. Initial visual acuities varied between light perception and 0.4 and the timing of treatment from a few hours to 10 days. We administered antibiotic and anti-inflammatory drugs, systemically and intravitreally, in all cases. We performed pars plana vitrectomy in 64.28% of cases. In 57.14% of cases, the final visual acuity was 0.1 or more. Conclusions. IOFBs increased significantly the risk for endophthalmitis. The worse prognostic factors were retinal detachment at presentation and delayed treatment. This trial is registered with IRCT2014082918966N1. |
| format | Article |
| id | doaj-art-37800cb002634cf6bd344dd6aa872885 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-37800cb002634cf6bd344dd6aa8728852025-02-03T01:12:36ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/747015747015Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year PeriodSimona Delia Nicoară0Iulian Irimescu1Tudor Călinici2Cristina Cristian3Department of Ophthalmology, Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy, 8 Victor Babes, Street, 400012 Cluj-Napoca, RomaniaDepartment of Neuroscience, Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy, 8 Victor Babes, Street, 400012 Cluj-Napoca, RomaniaDepartment of Medical Informatics and Biostatistics, Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy, 8 Victor Babes, Street, 400012 Cluj-Napoca, RomaniaDepartment of Ophthalmology, Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy, 8 Victor Babes, Street, 400012 Cluj-Napoca, RomaniaPurpose. To evaluate the outcome and identify the prognostic factors of traumatic endophthalmitis over a 5-year period. Methods. We reviewed the medical records of all the traumatic endophthalmities that we treated in our department over the last 5 years (2009–2013). We extracted the following parameters: age, gender, wound anatomy, associated ocular lesions, treatment, and initial and final visual acuities. We used the program SPSS version 20.0.0. for the statistical analysis of our data. Results. During the last 5 years, we treated 14 traumatic endophthalmities, representing 46.66% of all types of endophthalmities. The infection rate in open globe injuries was 8.13% and 34.78%, if an intraocular foreign body (IOFB) was associated. All the patients were males with the median age of 37 years. Initial visual acuities varied between light perception and 0.4 and the timing of treatment from a few hours to 10 days. We administered antibiotic and anti-inflammatory drugs, systemically and intravitreally, in all cases. We performed pars plana vitrectomy in 64.28% of cases. In 57.14% of cases, the final visual acuity was 0.1 or more. Conclusions. IOFBs increased significantly the risk for endophthalmitis. The worse prognostic factors were retinal detachment at presentation and delayed treatment. This trial is registered with IRCT2014082918966N1.http://dx.doi.org/10.1155/2014/747015 |
| spellingShingle | Simona Delia Nicoară Iulian Irimescu Tudor Călinici Cristina Cristian Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year Period Journal of Ophthalmology |
| title | Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year Period |
| title_full | Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year Period |
| title_fullStr | Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year Period |
| title_full_unstemmed | Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year Period |
| title_short | Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year Period |
| title_sort | outcome and prognostic factors for traumatic endophthalmitis over a 5 year period |
| url | http://dx.doi.org/10.1155/2014/747015 |
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