Microbiological Profile and Visual Recovery in Various Clinical Types of Endophthalmitis at a Tertiary Eye Care Hospital of Tamil Nadu, India: A Retrospective Cohort Study
Introduction: Endophthalmitis is a serious, sight-threatening purulent inflammation of the intraocular cavities of the eyeball. It greatly affects vision and can lead to severe complications such as panophthalmitis. The prevalence of endophthalmitis varies from one place to another. Aim: To ide...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2023-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18461/64927_CE[Ra1]_F(IS)_QC(KK_IS)_PF1(VD_OM)_PFA(VD_OM)_PN(KM).pdf |
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| author | Vinnarasi Rayar Ajay Venkat Anandhan Padmashri Poomalar Periasamy Josephine Priya Kumar |
| author_facet | Vinnarasi Rayar Ajay Venkat Anandhan Padmashri Poomalar Periasamy Josephine Priya Kumar |
| author_sort | Vinnarasi Rayar |
| collection | DOAJ |
| description | Introduction: Endophthalmitis is a serious, sight-threatening
purulent inflammation of the intraocular cavities of the eyeball. It
greatly affects vision and can lead to severe complications such
as panophthalmitis. The prevalence of endophthalmitis varies
from one place to another.
Aim: To identify the various aetiological and predisposing factors
that contribute to endophthalmitis and to assess the visual
outcomes following medical intervention (intravitreal antibiotics
only) and surgical intervention (both intravitreal antibiotics and
pars plana vitrectomy).
Materials and Methods: The present study was conducted
in the Department of Ophthalmology at Trichy SRM Medical
College Hospital and Research Centre, Trichy, Tamil Nadu, India
between January 2023 and February 2023. Demographic and
clinical data of patients diagnosed with endophthalmitis over a
two year period from October 2020 to September 2022 were
collected from the Medical Records Department of the Institution
for analysis. A total of 50 case records were selected using
convenience sampling. Demographic details such as age, gender,
predisposing risk factors, visual acuity, microbiological profiles,
treatment modalities, and final visual acuity were collected from
the present study. Quantitative data was presented as Mean and
Standard Deviation (SD), while qualitative data was presented as
frequencies and percentages. Summary statistics were analysed
using Microsoft Excel version 2018.
Results: In present study, 29 (58%) were males and 21 (42%)
were females, with the majority falling within the age group of
50-70 years. The mean age of the sample was 53.8±16.1 years.
Postoperative causes accounted for 39 (78%) of the cases,
with phacoemulsification surgery with foldable intraocular lens
implantation being the leading cause in 23 (58.7%) cases.
Culture positivity was observed in only 22 (44%) cases, with
Staphylococcus (Staph) epidermidis as the major causative
organism. The best visual acuity achieved was 6/12 for two
patients.
Conclusion: Postoperative endophthalmitis remains the most
common cause of endophthalmitis. Additionally, patients who
presented with better visual acuity had a better visual outcome
after treatment. Therefore, patients should be educated about
the early signs of endophthalmitis to ensure prompt medical
attention and improve visual recovery. |
| first_indexed | 2024-03-11T19:20:57Z |
| format | Article |
| id | doaj.art-4fac07044338482c9f41c6d55fd69658 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-11T19:20:57Z |
| publishDate | 2023-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-4fac07044338482c9f41c6d55fd696582023-10-07T11:17:48ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-09-011709101310.7860/JCDR/2023/64927.18461Microbiological Profile and Visual Recovery in Various Clinical Types of Endophthalmitis at a Tertiary Eye Care Hospital of Tamil Nadu, India: A Retrospective Cohort StudyVinnarasi Rayar0Ajay Venkat Anandhan1Padmashri2Poomalar Periasamy3Josephine Priya Kumar4Assistant Professor, Department of Ophthalmology, Trichy SRM Medical College Hospital and Research Centre, Trichy, Tamil Nadu, India.Junior Resident, Department of Ophthalmology, Trichy SRM Medical College Hospital and Research Centre, Trichy, Tamil Nadu, India.Junior Resident, Department of Ophthalmology, Trichy SRM Medical College Hospital and Research Centre, Trichy, Tamil Nadu, India.Junior Resident, Department of Ophthalmology, Trichy SRM Medical College Hospital and Research Centre, Trichy, Tamil Nadu, India.Assistant Professor, Department of Community Medicine, KAPV Government Medical College and Hospital, Trichy, Tamil Nadu, India.Introduction: Endophthalmitis is a serious, sight-threatening purulent inflammation of the intraocular cavities of the eyeball. It greatly affects vision and can lead to severe complications such as panophthalmitis. The prevalence of endophthalmitis varies from one place to another. Aim: To identify the various aetiological and predisposing factors that contribute to endophthalmitis and to assess the visual outcomes following medical intervention (intravitreal antibiotics only) and surgical intervention (both intravitreal antibiotics and pars plana vitrectomy). Materials and Methods: The present study was conducted in the Department of Ophthalmology at Trichy SRM Medical College Hospital and Research Centre, Trichy, Tamil Nadu, India between January 2023 and February 2023. Demographic and clinical data of patients diagnosed with endophthalmitis over a two year period from October 2020 to September 2022 were collected from the Medical Records Department of the Institution for analysis. A total of 50 case records were selected using convenience sampling. Demographic details such as age, gender, predisposing risk factors, visual acuity, microbiological profiles, treatment modalities, and final visual acuity were collected from the present study. Quantitative data was presented as Mean and Standard Deviation (SD), while qualitative data was presented as frequencies and percentages. Summary statistics were analysed using Microsoft Excel version 2018. Results: In present study, 29 (58%) were males and 21 (42%) were females, with the majority falling within the age group of 50-70 years. The mean age of the sample was 53.8±16.1 years. Postoperative causes accounted for 39 (78%) of the cases, with phacoemulsification surgery with foldable intraocular lens implantation being the leading cause in 23 (58.7%) cases. Culture positivity was observed in only 22 (44%) cases, with Staphylococcus (Staph) epidermidis as the major causative organism. The best visual acuity achieved was 6/12 for two patients. Conclusion: Postoperative endophthalmitis remains the most common cause of endophthalmitis. Additionally, patients who presented with better visual acuity had a better visual outcome after treatment. Therefore, patients should be educated about the early signs of endophthalmitis to ensure prompt medical attention and improve visual recovery.https://www.jcdr.net/articles/PDF/18461/64927_CE[Ra1]_F(IS)_QC(KK_IS)_PF1(VD_OM)_PFA(VD_OM)_PN(KM).pdfendogenousintravitrealpostoperativevitrectomy |
| spellingShingle | Vinnarasi Rayar Ajay Venkat Anandhan Padmashri Poomalar Periasamy Josephine Priya Kumar Microbiological Profile and Visual Recovery in Various Clinical Types of Endophthalmitis at a Tertiary Eye Care Hospital of Tamil Nadu, India: A Retrospective Cohort Study Journal of Clinical and Diagnostic Research endogenous intravitreal postoperative vitrectomy |
| title | Microbiological Profile and Visual Recovery in Various Clinical Types of Endophthalmitis at a Tertiary Eye Care Hospital of Tamil Nadu, India: A Retrospective Cohort Study |
| title_full | Microbiological Profile and Visual Recovery in Various Clinical Types of Endophthalmitis at a Tertiary Eye Care Hospital of Tamil Nadu, India: A Retrospective Cohort Study |
| title_fullStr | Microbiological Profile and Visual Recovery in Various Clinical Types of Endophthalmitis at a Tertiary Eye Care Hospital of Tamil Nadu, India: A Retrospective Cohort Study |
| title_full_unstemmed | Microbiological Profile and Visual Recovery in Various Clinical Types of Endophthalmitis at a Tertiary Eye Care Hospital of Tamil Nadu, India: A Retrospective Cohort Study |
| title_short | Microbiological Profile and Visual Recovery in Various Clinical Types of Endophthalmitis at a Tertiary Eye Care Hospital of Tamil Nadu, India: A Retrospective Cohort Study |
| title_sort | microbiological profile and visual recovery in various clinical types of endophthalmitis at a tertiary eye care hospital of tamil nadu india a retrospective cohort study |
| topic | endogenous intravitreal postoperative vitrectomy |
| url | https://www.jcdr.net/articles/PDF/18461/64927_CE[Ra1]_F(IS)_QC(KK_IS)_PF1(VD_OM)_PFA(VD_OM)_PN(KM).pdf |
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