VISUAL OUTCOME BETWEEN EARLY AND DELAYED VITRECTOMY IN ENDOPHTHALMITIS PATIENTS OPERATED IN KARIADI HOSPITAL, SEMARANG : TWO YEARS DESCRIPTIVE STUDY
DOI:
https://doi.org/10.35749/b9b3xa12Keywords:
Endophthalmitis, Early vitrectomy, Delayed vitrectomyAbstract
Introduction : Endophthalmitis is a medical emergency caused by infection of tissue or fluids inside the eyeball. Vitrectomy for endophthalmitis is one of the treatment choice and leads to VA gains in some cases. Timing of surgery and visual outcome after surgery are vital to acknowledge. This study aims to analyze the difference of visual outcome between early and delayed vitrectomy in endophthalmitis patients operated in Dr. Kariadi General Hospital
Methods : A Retrospective study held from medical record of patients with endophthalmitis underwent vitrectomy surgery from January 2021 – January 2023 in Dr. Kariadi General Hospital, Semarang. Endophthalmitis patients caused by trauma were excluded. All of the patients had immediate vitrectomy, and based on the onset, the patients were divided into two groups, early vitrectomy (onset ? 7 days) and delayed vitrectomy (onset > 7 days). Independent t- test method was used to analyze the data (significant if p<0.05)
Result : Totally 30 endophthalmitis patients (30 eyes) were obtained. There were 18 patients (60%) had early vitrectomy and 12 patients (40%) had delayed vitrectomy. Postoperative examination showed 13 (72%) patients with early vitrectomy had improved VA, and 5 (28%) had constant VA. On the other hand, patients with delayed vitrectomy showed 5 (42%) had improved VA, 6 (50%) had constant VA, and 1 (8%) had decreased VA. The difference between two groups was significant (p=0.014)
Conclusion : This study found endophthalmitis patients with early vitrectomy had significant better visual outcome than delayed vitrectomy.
Downloads
References
Durand, M. L. (2013). Endophthalmitis. https://doi.org/10.1111/1469-0691.12118
Johnson, T. M. (2003). Endophthalmitis Vitrectomy Study. Canadian Journal of Ophthalmology, 38(4), 264. https://doi.org/10.1016/s0008-4182(03)80088-1
Kuhn F, Gini G. Ten years after... are findings of the Endophthalmitis Vitrectomy Study still relevant today? Graefes Arch Clin Exp Ophthalmol. 2005 Dec;243(12):1197-9. [PubMed: 16136321]
Dib, B., Morris, R. E., Oltmanns, M. H., Sapp, M. R., Jay, P., & Kuhn, F. (2022). Complete and Early Vitrectomy for Endophthalmitis After Cataract Surgery?: An Alternative Treatment Paradigm Complete and Early Vitrectomy for Endophthalmitis After Cataract Surgery?: An Alternative Treatment Paradigm. https://doi.org/10.2147/OPTH.S253228
Negretti, G. S., Chan, W., Pavesio, C., Muhammed, M., & Muqit, K. (2020). Vitrectomy for endophthalmitis?: 5- ¬ year study of outcomes and complications. 1–8. https://doi.org/10.1136/bmjophth-2019-000423
Nowak, M. S., Grzybowski, A., & Michalska-ma?ecka, K. (2019). Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland , during 2010 – 2015. 1–10.
Kim, J., Kim, H. S., Yoo, S. J., Choi, M. J., Lew, Y., Kim, J. W., & Cho, H. J. (2022). Immediate Vitrectomy for Acute Endophthalmitis in Patients with a Visual Acuity of Hand Motion or Better. 36(5), 390–397.
Gower EW, Keay LJ, Stare DE, et al. Characteristics of endophthalmitis after cataract surgery in the United States Medicare population. Ophthalmology 2015;122:1625-32
Jeong SH, Cho HJ, Kim HS, et al. Acute endophthalmitis after cataract surgery: 164 consecutive cases treated at a referral center in South Korea. Eye (Lond) 2017;31:145
Van Ho, I., Fernandez-Sanz, G., Levasseur, S., Ting, E., Liew, G., Playfair, J., Downie, J., Gorbatov, M., Hunyor, A. P., & Chang, A. A. (2019). Early pars plana vitrectomy for treatment of acute infective endophthalmitis. Asia-Pacific Journal of Ophthalmology, 8(1), 3–7. https://doi.org/10.22608/APO.2018414
Almanjoumi AM, Combey A, Romanet JP, et al. 23-Gauge transconjunctival sutureless vitrectomy in treatment of postoperative endophthalmitis. Graefes Arch Clin Exp Ophthalmol 2012;250:1367–71
Downloads
Published
License
Copyright (c) 2024 Suci Rahmayanti, Satya Hutama Pragnanda
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
