Article: Clinico-microbiological profile and visual outcome in traumatic endophthalmitis following pars plana vitrectomy at a tertiary eye care centre of Nepal
| creativeworkseries.issn | JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X | |
| dc.contributor.author | Thapa, Raba | |
| dc.contributor.author | Paudyal, Govinda | |
| dc.creator.affiliation | Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal. | |
| dc.creator.affiliation | Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal. | |
| dc.date.accessioned | 2026-10-07T05:51:21Z | |
| dc.date.available | 2026-10-07T05:51:21Z | |
| dc.date.issued | 2014 | |
| dc.description.abstract | Abstract Introduction: Endophthalmitis is a potentially devastating ocular complication of perforating eye injury where prompt intervention can save some vision. This study aims to explore the clinico-microbiologic profile and visual outcome following pars plana vitrectomy (PPV) in traumatic endophthalmitis. Methods: This is a retrospective interventional case series study conducted at a tertiary eye care centre of Nepal. A total of 49 consecutive cases (49 eyes) of endophthalmitis following PEI, who underwent PPV from January 2007 to June 2010 were included in the study. Results: Mean age was 14.7 years (S.D. 14.27). Twenty seven patients (55%) were of age group below 10 years. Male to female ratio was 2.75:1. Mean duration of presentation was 8.9 days. Nineteen eyes (36.73%) had injuries with wooden sticks, followed by injury with metallic objects in 16 patients (32.56%). PEI involving zone I was found in 31 eyes (63.25%). The retained intraocular foreign body was found in seven patients (14.2%). The post operative vision improved in almost 24 cases (49%) with visual recovery of 20/200 and better in six cases (12.24%). The vitreous culture was positive in five cases (12.8%) with predominant streptococcus pneumonia in four cases (10.25%). Conclusions: Children were the mostly affected group with males outnumbering females. Wooden sticks and metallic objects were the commonest insulting agents. Despite the late presentation and predominant zone I injury, eye could be salvaged in majority with visual recovery of 20/200 and better in six cases (12.24%). Keywords: Endophthalmitis; Intra-ocular foreign body; Perforating eye injury; Vitrectomy . | |
| dc.identifier.doi | https://doi.org/10.31729/jnma.2709 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/7996 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical Association | |
| dc.subject | Endophthalmitis | |
| dc.subject | Intra-ocular foreign body | |
| dc.subject | Perforating eye injury | |
| dc.subject | Vitrectomy | |
| dc.title | Clinico-microbiological profile and visual outcome in traumatic endophthalmitis following pars plana vitrectomy at a tertiary eye care centre of Nepal | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 891 | |
| oaire.citation.startPage | 886 | |
| relation.isJournalIssueOfPublication | 4f1bcc5a-e56f-4a48-86af-c28ab782631f | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 4f1bcc5a-e56f-4a48-86af-c28ab782631f | |
| relation.isJournalOfPublication | e6e146a0-0ece-4aba-aa0a-6ccfbd10a12a |