Abstract:

Purpose: Postoperative endophthalmic eye surgery is the first of many fearful complications. This study examined the frequency of postoperative endophthalmic occurrences, clinical characteristics, risk factors, treatment approaches and prognosis. Tools and Methods: The study included incidents of postoperative endoftalmi diagnosis in the Ankara Education and Research Hospital Eye Clinic. The frequency of postoperative endophthalmic occurrences, ocular and systemic diseases of patients, application symptoms, eye examination findings, bacterial culture results, medical and surgical treatments and prognosis were studied. Results: 41 facts with postoperative endophthalmic diagnosis were included in the study. The average age of the cases was 62.8±22.4 years. Endoftalmi 38 favourites (92%). 8) after cataractic surgery and/or intraocular placenta implantation, 1 favourite (2.4%) trabeculectomy, 1 favourite (2.4%) penetrating keratoplasty and 1 favourite (2.4%) pars plan vitrectomy developed. In cases, the time of application to the hospital after surgery is an average of 15.7±17.5 (2-60) days. Vitreus/Humor acoustic culture was positive in 46.3% of cases. All cases were 1 times intravitreal antibiotic injection and 15(36.6%) cases were pars plan vitrektomy. Eviteration was applied to 3 of the 7 cases that lost light sense (7.3%). The incidents were followed by an average of 11.1±4.9 (6-25) months. The tracking resulted in 7(17.1%) light sensation loss, while 12(29.3%) light sensation-hand movement resulted in 11(26.8%) light sensation-hand movement from 1 meter to finger count-<0.1, 10(24.4%) light sensation loss resulted in 0.1 and higher vision accuracy. In one (2.4%) case, vision accuracy was not measured due to age. The effect of the pars plan on the vision forecast was not determined (p=0.259). In postoperative endophthalmic cases, it is possible to make an urgent intravitreal antibiotic, repeat it when necessary and obtain acceptable visual and anatomical result with appropriate surgical treatment in the right time in the necessary cases.

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