title: Visual Outcomes and Prognostic Factors after Pars Plana Vitrectomy for Traumatic Endophthalmitis.
abstract: 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.
authors.affiliation: Department of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266003, China.
authors.forename: Tao
authors.identifier: 0000-0002-1280-2831
authors.initials: T
authors.lastname: Jiang
authors.affiliation: The Infectious Diseases Department, Eastern Branch of the Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266061, China.
authors.forename: Jing
authors.identifier: 0000-0002-7379-6738
authors.initials: J
authors.lastname: Jiang
authors.affiliation: Health Examination Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266003, China.
authors.forename: Renping
authors.identifier: 0000-0002-1368-5243
authors.initials: R
authors.lastname: Wang
authors.affiliation: Traditional Chinese Medicine Preparation, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shanxi Province 710004, China.
authors.forename: Jianlin
authors.identifier: 0000-0002-8064-8856
authors.initials: J
authors.lastname: Lei
authors.affiliation: Department of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266003, China.
authors.forename: Yang
authors.identifier: 0000-0002-8062-0212
authors.initials: Y
authors.lastname: Zhou
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D009877:Endophthalmitis / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy; D014947:Wounds and Injuries / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult