The surgical treatment of traumatic endophthalmitis

Objective To explore the effects of vitrectomy on traumatic endophthalmitis, and analyze the relative factors.Methods Twenty-one eyes of 21 patients with traumatic endophthalmitis received the treatment of vitrectomy. Silicone oil was injected in 18 eyes, C 3F 8 was used in 2 eyes, and no adjunct in 1 eye. Preoperative visual acuity ranged from light perception to 0 1. The mean preoperative intraocular pressure was 9 mmHg with a range from 5 to 25 mmHg. Follow-up ranged from 3 to 43 months with a mean of 18 months.Results The postoperative visual acuity ranged from non-light perception to 0.8. The vision increased in 15 eyes (71%), was stable in 4 eyes (19%), decreased in 2 eyes (10%). The mean postoperative intraocular pressure was 18 mmHg with a range from l0 to 22 mmHg, and was significantly higher than preoperative one (P0.05). Postoperative complications mainly included fibrosis exudates in the anterior chamber (19 eyes), temporary intraocular pressure elevation (4 eyes),retinal detachment (3 eyes), and ocular atrophy (2 eyes).Conclusion Vitrectomy is a safe and effective method in treating traumatic endophthalmitis.