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Complete vitrectomy helps improve post-traumatic endophthalmitis results

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Primary silicone oil tamponade and complete vitrectomy may help improve the anatomical and functional results in post-traumatic endophthalmitis, a study found.

Rajvardhan Azad and colleagues at the All India Institute of Medical Sciences in New Delhi randomized 24 cases of post-traumatic endophthalmitis to two groups: Group 1 underwent core vitrectomy alone, and group 2 underwent complete vitrectomy with silicone oil endotamponade. Follow-up was 1, 2, 4 and 12 weeks postoperatively. The silicone oil was removed 6 weeks after primary surgery in all eyes.

Vision of 20/400 or better was achieved in 58.3% of cases. Intraoperative retinal breaks were found in 50% of the patients in group 1, but final visual outcomes were not affected. In group 1, four of 12 patients developed rhegmatogenous retinal detachment in the immediate postop period.

The study is published in Graefe’s Archive for Clinical and Investigative Ophthalmology.