Prognostic factors associated with visual outcome of salvageable eyes with posttraumatic endophthalmitis

• Published in: Scientific reports Vol. 9; no. 1; pp. 12678 - 8
• Main Authors: Lu, Xuehui, Xia, Honghe, Jin, Chuang, Chen, Weiqi, Siu-Chun Ng, Danny, Yan, Hua, Chen, Haoyu
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 03.09.2019; Nature Publishing Group
• Subjects: 692/308/409; 692/699/3161/3175; Acuity; Adolescent; Adult; Aged; Anti-Bacterial Agents - pharmacology; Anti-Bacterial Agents - therapeutic use; Ceftazidime; Ceftazidime - pharmacology; Ceftazidime - therapeutic use; Child; Child, Preschool; Endophthalmitis; Endophthalmitis - diagnosis; Endophthalmitis - drug therapy; Endophthalmitis - microbiology; Etiology; Eye; Family medical history; Female; Humanities and Social Sciences; Humans; Male; Medical records; Microbiology; Middle Aged; multidisciplinary; Oil; Patients; Prognosis; Retina; Retinal Detachment - etiology; Retinal Detachment - pathology; Retrospective Studies; Science; Science (multidisciplinary); Silicone Oils - therapeutic use; Silicones; Staphylococcus epidermidis - drug effects; Staphylococcus epidermidis - isolation & purification; Tamponade; Visual Acuity; Vitrectomy; Young Adult
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-019-49117-w

The purpose of this study is to evaluate the prognostic factors associated with visual outcomes in the salvageable eyes with posttraumatic endophthalmitis. We retrospectively reviewed the medical records of all patients diagnosed with posttraumatic endophthalmitis in our hospital between 2008 and 2015. The following information was collected: age, sex, etiology, past medical history, clinical manifestations, wound location, microbiology, blood leukocyte counts, types of interventions, initial visual acuities and final visual acuities. Univariate and multivariate analyses were used to explore the factors associated with final best-corrected visual acuity. In total, 98 eyes of 98 patients were included in our study. Fifty-seven eyes underwent vitrectomy, 27 of them had silicone oil tamponade, 38 eyes received intravitreal ceftazidime only and 3 eyes received intracameral ceftazidime. In univariate analysis, poor initial visual acuity, presence of intraocular foreign body, number of intravitreal injections, retinal detachment and Zone 3 injury were associated with poor visual outcome. In multivariable analysis, poor initial visual acuity, presence of intraocular foreign body and number of intravitreal injections were independently associated with poor visual outcome. The silicone oil group had fewer repeated intravitreal injections than the group without oil tamponade. We concluded that the visual outcome of salvageable eyes with posttraumatic endophthalmitis is associated with initial visual acuity, presence of intraocular foreign body and number of intravitreal antibiotic injections.