Jurnal Dampak Visual Dan Manifestasi Klinis Endoftalmitis Pasca Operasi Pada Rumah Sakit Mata Di Padang | Vitresia

Jurnal Dampak Visual Dan Manifestasi Klinis Endoftalmitis Pasca Operasi Pada Rumah Sakit Mata Di Padang | Vitresia

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Abstract

Postoperative endophthalmitis is defined as severe ocular inflammation affecting the anterior and posterior segments of the eye after intraocular surgery. Sources of causative microorganisms can originate from the normal flora of the eye surface or from contaminated instruments. The aim of the study was to determine the visual impact and clinical manifestations of postoperative exogenous endophthalmitis patients during 2016, in an eye hospital in the city of Padang. Data were collected retrospectively from medical records of patients diagnosed with Post-Surgical Exogenous Endophthalmitis. There were 18 patients with male characteristics = b8 people, women = 10 people with ages ranging from 50-86 years (mean 67 years). The previous intraocular surgery was fecemulsification and PPV (Pars Plana Vitrectomy). The duration of clinical symptoms is calculated from the previous surgery, obtained most in 3 days after surgery, which is 50%. All patients underwent intravitreal injection of Vancomycin and Ceftazidime antibiotics as soon as the diagnosis was made and 6 patients including PPV (Pars Plana Vitrectomy). The clinical manifestations that patients often complain of are blurred eyes and pain in almost all cases (88.9%) and signs of inflammation in the anterior and posterior segments of the eye. The visual impact that was obtained where the final vision after action and follow-up after 4 weeks was 20/400 as much as 55.6% (10 people) and even some of them had better vision than 20/200 in 70% (7 people). Prompt and prompt early diagnosis and management, then cases of exogenous endophthalmitis after surgery can be saved.

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