Endophtalmitis after Injury with Intraocular Foreign Body in Posterior Segment of the Eye
Authors:
A. Potočková; P. Strmeň; K. Hlaváčková; J. Štefaničková; Ľ. Vlčák
Authors place of work:
Ústav lekárskej fyziky, biofyziky, informatiky a telemedicíny LFUK, Bratislava, prednosta prof. MUDr. Elena Kukurová, CSc.
; Klinika oftalmológie LF UK, Bratislava, prednosta prof. MUDr. Peter Strmeň, CSc.
Published in the journal:
Čes. a slov. Oftal., 65, 2009, No. 4, p. 115-119
Summary
Objective:
To evaluate morphological and functional results of therapy in patients with endophthalmitis associated with intraocular foreign bodies in posterior segment in retrospective study.
Material and methods:
In the Department of Ophthalmology, School of Medicine, Comenius University Bratislava we treated 216 patients (216 eyes) with intraocular foreign bodies in posterior segment of the eye in the years 1989-2007. Endophthalmitis developed in 34 eyes (15.7 %). Patients were in age between 7–59 years, average 35.6 years. Patients were examined in outpatient department, follow up ranged from 1 month to 5.6 years, average 1.6 years. We evaluated epidemiological factors, morphological and functional results in this study.
Results:
Good morphological results were achieved in 18 patients (52.9 %) and bad morphological results in 16 patients (47.1 %). Enucleation, evisceration of the globe, phthisis and retinal detachment were defined as bad morphological results. Initial visual acuity 5/50 and better had 4 patients (11.8 %), less than 5/50 and better than hand movement had 4 patients (11.8 %) and hand movement and less had 26 patients (76.5 %). Final visual acuity 5/50 and better had 8 patients (23.5 %), less 5/50 and better than hand movement had 4 patients (11.8 %) and hand movement and less had 22 patients (64.7 %).
Conclusion:
Early recognition and correct treatment of posttraumatic endophthalmitis is necessary for maintaining of the eye and its functions. Initial visual acuity better than hand movement is a good prognostic factor.
Key words:
intraocular foreign bodies, endophthalmitis, pars plana vitrectomy
Zdroje
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Štítky
OphthalmologyČlánok vyšiel v časopise
Czech and Slovak Ophthalmology
2009 Číslo 4
Najčítanejšie v tomto čísle
- Retinal and Macular Changes after Surgical Treatment of Retinal Detachment
- Malignant Masquerade Syndromes
- Oclusion of Upper Ophthalmic Vein – a Case Report
- Endophtalmitis after Injury with Intraocular Foreign Body in Posterior Segment of the Eye