DR. MAMATHA NOOKALA

Dr. RAJALINGAM VAIRAGYAM

Abstract

PURPOSE: A prospective interventional study of visual outcome in post surgical endophthalmitis patients over 18 months.

METHODS:39 patients referred with post surgical endophthalmitis were managed as per standard guidelines with intravitreal antibiotics & antifungals, PPV, wound dehiscence repair, exudative membranectomy, AC wash &followed up till 3 months.

RESULTS: Among 39 eyes in the study,28 eyes s/p SICS, 8 eyes s/p phacoemulsification,1 eye s/p TKP,1 eye s/p DSEK,1 eye s/p intravitreal inj.Ranibizumab.1 patient lost to follow up. After treatment final VA of >/= 6/60 was achieved in 12/38 (31.5 %).

CONCLUSION: Cataract surgery is most commonly performed surgery & leading cause of post surgical endophthalmitis. Early diagnosis and appropriate treatment is necessary for good visual outcome. Old age, poor VA at presentation, gram-ve bacterial infection, short interval b/w cataract surgery & endophthalmitis were significantly related to poor visual outcome.

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