Visual Outcome in Pars Plana Vitrectomy for Acute Postoperative Endophthalmitis after Cataract Surgery | [Pakistan Journal of Ophthalmology • 2020]

Author(s):

1. Abdul Rafio Soomro: Al-Ibrahim Eye Hospital, Isra Postgraduate Institute of Ophthalmology, Karachi, Pakistan

2. Fayaz Ahmed Soomro: Al-Ibrahim Eye Hospital, Isra Postgraduate Institute of Ophthalmology, Karachi, Pakistan

3. Munawar Hussain: Al-Ibrahim Eye Hospital, Isra Postgraduate Institute of Ophthalmology, Karachi, Pakistan

4. Abdul Qadeem Soomro: Al-Ibrahim Eye Hospital, Isra Postgraduate Institute of Ophthalmology, Karachi, Pakistan

5. Nazia Qidwai: Al-Ibrahim Eye Hospital, Isra Postgraduate Institute of Ophthalmology, Karachi, Pakistan

6. Anas Bin Tariq: Al-Ibrahim Eye Hospital, Isra Postgraduate Institute of Ophthalmology, Karachi, Pakistan

Abstract:

Purpose: To determine the visual outcomes in patients undergoing pars plana-vitrectomy (PPV) for acute postoperative endophthalmitis after cataract surgery. Study Design: Quasi experimental study. Material and Methods: Thirty-three patients were selected using non-probability convenient sampling technique. Patients with acute postoperative endophthalmitis after cataract surgery diagnosed clinically and on B-scan, with visual acuity of only perception of light were included while patients with better visual acuity and any other types of endophthalmitis were excluded. PPV was performed in all cases and the patients were examined postoperatively on 1st day, 3rd day, 1, 2 and 3 weeks after surgery. During these follow ups, visual acuity was recorded, detailed slit lamp and fundus examination was performed. Using SPSS version 20.0, chi-square test was applied to test for significance keeping p-value of < 0.05 as significant. Results: Out of 33 patients 19 (57.6%) were males and 14 (42.4%) were females. Mean age of the patients was 54.50 ± 14.14 years. On 1st post-operative day 8 patients (24.2%) showed improvement of visual acuity from perception of light to finger counting while 02 (6.1%) patients reported visual acuity of 6/60. On final visit at 3rd week postoperatively, 19 patients (57.6%) had visual acuity of finger counting, 08 patients (24.2%) had hand movement and 06 (18.2%) patients reported a visual acuity of 6/60. Conclusion: PPV for acute post-cataract endophthalmitis if performed at appropriate time can result in favourable outcomes in terms of visual acuity.

Page(s): 236-240

DOI: 10.36351/pjo.v36i3.991

Published: Journal: Pakistan Journal of Ophthalmology , Volume: 36, Issue: 3, Year: 2020

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