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Published on: May 24, 2015
Risk factors in endophthalmitis leading to evisceration or enucleation
Ophthalmic Surgery and Lasers
|May 24, 2001
Summary
Older age, vision loss at presentation, corneal ulcers, and endogenous causes increase the risk of evisceration or enucleation in endophthalmitis patients.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Endophthalmitis is a severe intraocular infection.
- Evisceration or enucleation are surgical interventions to manage severe endophthalmitis.
- Identifying risk factors is crucial for timely intervention and management.
Purpose of the Study:
- To identify risk factors associated with the need for evisceration or enucleation in patients with endophthalmitis.
Main Methods:
- Retrospective analysis of endophthalmitis cases over a 10-year period.
- Patients were categorized into two groups: those undergoing evisceration/enucleation and those treated with intravitreal injections or vitrectomy.
- Statistical analysis was performed to determine significant risk factors.
Main Results:
- Out of 86 endophthalmitis patients, 20 (23.2%) required evisceration or enucleation.
- Significant risk factors included older age (P=0.03), no light perception at presentation (P<0.0001), endophthalmitis associated with corneal ulcer (P<0.0001), and endogenous endophthalmitis (P=0.048).
Conclusions:
- Older age, severe vision loss, corneal ulcers, and endogenous origin are significant predictors for evisceration or enucleation in endophthalmitis.
- These findings aid in risk stratification and management planning for endophthalmitis cases.
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