Anatomical and Functional Outcomes in Delayed Onset versus Concurrent Retinal Detachment in Endophthalmitis

• Published in: Clinical ophthalmology (Auckland, N.Z.) Vol. 17; pp. 115 - 121
• Main Authors: Srinivasan, Ramyaa, Roy, Krishnakanta, Mahesh, Meenakshi, Surya, Janani, Raman, Rajiv
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 01.01.2023; Taylor & Francis Ltd; Dove; Dove Medical Press
• Subjects: Blindness; concurrent retinal detachment; delayed onset retinal detachment; Endophthalmitis; Etiology; Eye; Foreign bodies; functional outcomes and anatomical outcomes; Medical research; Medicine, Experimental; Original Research; Patient outcomes; Retinal detachment; Surgery; Virulence; Visual impairment; India; delayed onset retinal detachment; endophthalmitis; functional outcomes and anatomical outcomes; concurrent retinal detachment
• ISSN: 1177-5467; 1177-5483; 1177-5483
• DOI: 10.2147/OPTH.S389474

To determine the functional and anatomical outcomes of patients with endophthalmitis with concurrent or delayed onset retinal detachment (RD), and compare the preoperative, intraoperative and postoperative features. This was a retrospective review of 121 eyes in 121 patients presenting with endophthalmitis and RD. Subjects were categorized into two groups: endophthalmitis with delayed onset RD (group 1, N=76) and endophthalmitis with concurrent RD (group 2, N=45). The mean age of patients in groups 1 and 2 was 38.21±21.60 and 46.78±24.42 years, respectively ( =0.047). Exogenous endophthalmitis was common in both groups 1 and 2 (86.84% and 84.44%, respectively). No significant differences were found between the groups in the type of RD, retinal breaks, number of quadrants involved or proliferative vitreoretinopathy grade. In the overall cohort, visual acuity improved post-surgery in one-third of the patients who were in the near or total blindness category at presentation. We found good anatomical success rates of an attached retina in both groups 1 and 2 (84.3% and 77.7%, =0.376). Our study presents the results of patients with endophthalmitis and delayed onset RD or concurrent RD. It shows a few differences in presentation between the groups, but the anatomical and functional outcomes were almost the same.