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  • A Multicenter Review Evalua...
    Nanji, Keean; Kherani, Imaan; Khan, Mohammad; Williams, Geoff; Muni, Rajeev; Chaudhary, Varun; Kherani, Amin

    Retina (Philadelphia, Pa.), 08/2022, Letnik: 42, Številka: 8
    Journal Article

    To describe the characteristics of rhegmatogenous retinal detachments (RD) that developed after endophthalmitis and to provide insight regarding incidence, management, and outcomes. Retrospective chart review of consecutive patients diagnosed with endophthalmitis at two Canadian institutions and from one surgeon at a third center over a 10-year period. 316 eyes presented with endophthalmitis of which 32 (10%) were complicated by subsequent RD. The mean age (SD) of patients was 72.0 (13.77). Intravitreal injections (33%) and cataract surgery (31%) were the most common inciting events for the endophthalmitis. Cases were managed with tap and inject (16%), vitrectomy (30%) or both (47%). There were no differences in the rate of RD when comparing the inciting events, microbial growth, or management approaches. Baseline visual acuity was the only predictor of RD (p=0.009). There was an improvement in VA following management of the RD (logMAR 2.33 vs 1.69 or Snellen HM vs 20/980, p=0.009) but final VA in these patients was worse than in those who did not develop RD (logMAR 1.69 vs 1.27 or Snellen 20/980 vs 20/372, p=0.029). All patients with RD post endophthalmitis required additional surgery and functional outcomes remained poor. Nevertheless, repair of these RDs can preserve some vision and be globe saving.