VISUAL OUTCOME BETWEEN EARLY AND DELAYED VITRECTOMY IN ENDOPHTHALMITIS PATIENTS OPERATED IN KARIADI GENERAL HOSPITAL, SEMARANG : TWO YEARS DESCRIPTIVE STUDY Oral Presentation - Observational Research - Resident
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endophthalmitis, early vitrectomy, delayed vitrectomy
Abstract
Introduction & Objectives
Endophthalmitis is a medical emergency caused by infection of tissue or fluids inside the eyeball.
Vitrectomy for endophthalmitis is one of the treatment choice and leads to VA gains in some cases.
Timing of surgery and visual outcome after surgery are vital to acknowledge. This study aims to
analyze the difference of visual outcome between early and delayed vitrectomy in endophthalmitis
patients operated in Dr. Kariadi General Hospital
Methods
A Retrospective study held from medical record of patients with endophthalmitis underwent
vitrectomy surgery from January 2021 – January 2023 in Dr. Kariadi General Hospital, Semarang.
Endophthalmitis patients caused by trauma were excluded. All of the patients had immediate
vitrectomy, and based on duration of symptoms, the patients were divided into two groups, early
vitrectomy (duration of symptoms ? 7 days) and delayed vitrectomy (duration of symptoms > 7
days). Independent t- test method was used to analyze the data (significant if p<0.05)
Results
Totally 30 endophthalmitis patients (30 eyes) were obtained. There were 18 patients (60%) had early
vitrectomy and 12 patients (40%) had delayed vitrectomy. Postoperative examination showed 13
(72%) patients with early vitrectomy had improved VA, and 5 (28%) had constant VA. On the other
hand, patients with delayed vitrectomy showed 5 (42%) had improved VA, 6 (50%) had constant VA,
and 1 (8%) had decreased VA. The difference between two groups was significant (p=0.014)
Conclusion
This study found endophthalmitis patients with early vitrectomy had significant better visual
outcome than delayed vitrectomy
Full text article
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Authors
Copyright (c) 2023 Suci Rahmayanti, Satya Hutama Pragnanda
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