Risk factors and outcomes of post-traumatic endophthalmitis: a retrospective single-center study

Autor: Nawat Watanachai, Janejit Choovuthayakorn, Susama Chokesuwattanaskul, Chaipot Photcharapongsakul, Praelada Wongsirimeteekul, Phichayut Phinyo, Voraporn Chaikitmongkol, Paradee Kunavisarut, Pongsant Supreeyathitikul, Direk Patikulsila
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Ophthalmic Inflammation and Infection, Vol 11, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 1869-5760
DOI: 10.1186/s12348-021-00254-2
Popis: Abstract Background To describe the epidemiology, characteristics, risk factors, and outcomes of post-traumatic endophthalmitis. Main body Medical records of consecutive open globe injury patients admitted and primarily treated between January 2006 and December 2016 were retrospectively reviewed. Patients were defined as having or not having associated endophthalmitis. Data of demographics, injury characteristics, clinical presentations, and visual outcomes were collected. The potential risks and significant factors for visual outcomes of post-traumatic endophthalmitis were determined. There were 591 patients included in this study. Among these, 118 patients were clinically diagnosed as having accompanied endophthalmitis. Higher proportions of intraocular foreign body (IOFB) (55.1% vs. 27.3%) and injury related to high-velocity objects (55.9% vs. 32.6%) were noted in patients with endophthalmitis compared to patients without endophthalmitis. Anterior wound location (odds ratio [OR], 2.0; 95% confidence interval [CI], 1.1 to 3.7; P = 0.020), presence of IOFB (OR, 1.9; 95% CI 1.2 to 3.0; P = 0.005), and delayed presentation of > 24 h (OR, 3.9; 95% CI 2.3 to 6.4; P
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