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Clinical Profile and Outcomes of Traumatic Endophthalmitis in Western India

Mehul Shah*, Shreya Shah, Rupali Baranwal, Pradeep Chandana, Deeksha Thorat

Introduction: To determine the rate of endophthalmitis and assess risk factors for the development of endophthalmitis following open Globe Injury (OGI).

Methods: A retrospective review of all patients treated for OGI at the Drashti Netralaya from January 2008 to December 2019 was conducted according to predefined inclusion and exclusion criteria. The main outcome measure was the rate of endophthalmitis, different variables, and visual outcome.

Results: In this study, 53/1551 (3.42%) eyes had endophthalmitis. Cross tabulation and descriptive analyses identified presenting vision (0.012), corneal condition (0.009), vitreous opacities (0.000), and pediatric age group (0.003) as high-risk factors of developing endophthalmitis. Type of interventions and subconjunctival antibiotic injection at the time of globe closure (0.011) was associated with decreased risk of developing endophthalmitis.

Conclusion: Careful aggressive management according to EVS guidelines caused a significant impact on the outcome.