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ANALYSIS OF DIFFERENT OUTCOMES OF EARLY PARS PLANA VITRECTOMY FOR ACUTE POST-OPERATIVE ENDOPHTHALMITIS

Dr Anam Manzoor, Dr Anum Shah, Dr Maria Javaid

Introduction: Traumatic endophthalmitis is a subset urgent and severe ophthalmologic disease, remaining as a notable cause of poor visual outcome. Aims and objectives: The basic aim of this research work is to analyze the different outcomes of early pars plana vitrectomy for acute post-operative endophthalmitis. Material and methods: This descriptive study was conducted in Foundation University Medical College, Islamabad during March 2018 to December 2018. The data was collected from 100 patients with acute post-operative endophthalmitis. Patients demographic studies included age, sex, place of trauma, mechanism of injury, the location and size of corneal perforation or scleral perforation, with or without uveal prolapse, entry and location of IOFB, time between injury and repair, and initial and final best corrected visual acuity. Results: All the collected data were analysed and find out the results. Four clinic factors associated with better post-op BCVA were identified by univariate analysis (Table 2). Time between trauma and initial treatment less than 12 hrs, time between trauma and PPV treatment less than 24 hrs, laceration length less than 10 mm, and presenting VA better than LP were statistically significant factors which could result in better BCVA, while gender and the perforation position were not significant factors. Those cases kept stable intraocular structure and retinal detachment after removal of silicone oil at the end of the follow-up. Conclusion: It is concluded that the better visual acuity prognosis postoperatively could benefit from prompt vitrectomy treatment, isolation of non-virulent microorganisms, shorter length of laceration, better presenting visual acuity, and the use of silicone oil or removing the lens if necessary.

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