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Anatomical and Functional Outcomes in Delayed Onset versus Concurrent Retinal Detachment in Endophthalmitis.
Ramyaa Srinivasan1, Krishnakanta Roy1, Meenakshi Mahesh1
1Shri Bhagwan Mahavir Vitreoretinal Services, Vision Research Foundation - Sankara Nethralaya, Chennai, Tamil Nadu, India.
Clinical Ophthalmology (Auckland, N.Z.)
|January 16, 2023
Summary
This study compared outcomes for endophthalmitis with delayed or concurrent retinal detachment (RD). Anatomical and functional results were similar between groups, with visual acuity improving in one-third of severely affected patients.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Infectious Eye Diseases
Background:
- Endophthalmitis is a severe intraocular infection.
- Retinal detachment (RD) can occur concurrently or delayed after endophthalmitis.
- Understanding outcomes is crucial for patient management.
Purpose of the Study:
- To evaluate functional and anatomical outcomes in patients with endophthalmitis and concurrent or delayed-onset RD.
- To compare preoperative, intraoperative, and postoperative features between these two groups.
Main Methods:
- Retrospective review of 121 eyes with endophthalmitis and RD.
- Patients divided into two groups: delayed onset RD (N=76) and concurrent RD (N=45).
- Comparison of clinical features and surgical outcomes.
Main Results:
- No significant differences in RD type, retinal breaks, or proliferative vitreoretinopathy between groups.
- Exogenous endophthalmitis was prevalent in both groups (approx. 85%).
- Good anatomical success (attached retina) achieved in 84.3% (delayed) and 77.7% (concurrent) of cases. Visual acuity improved in one-third of visually impaired patients.
Conclusions:
- Endophthalmitis with delayed or concurrent RD shows similar clinical presentations.
- Both groups achieve comparable anatomical and functional outcomes post-treatment.
- Surgical intervention offers potential for visual acuity improvement in affected eyes.
