@article{Thapa_Paudyal_2014, title={Clinico-microbiological Profile and Visual outcome in Traumatic Endophthalmitis following Pars Plana Vitrectomy at a Tertiary Eye Care Centre of Nepal}, volume={52}, url={http://jnma.com.np/jnma/index.php/jnma/article/view/2709}, DOI={10.31729/jnma.2709}, abstractNote={<p><strong>Introduction:</strong> Endophthalmitis is a potentially devastating ocular complication of perforating eye injury where prompt intervention can save some vision. This study aims to explore the clinico-microbiologic profile and visual outcome following pars plana vitrectomy (PPV) in traumatic endophthalmitis.</p> <p><strong>Methods:</strong> This is a retrospective interventional case series study conducted at a tertiary eye care centre of Nepal. A total of 49 consecutive cases (49 eyes) of endophthalmitis following PEI, who underwent PPV from January 2007 to June 2010 were included in the study.  </p> <p><strong>Results:</strong> Mean age was 14.7 years (S.D. 14.27). Twenty seven patients (55%) were of age group below 10 years. Male to female ratio was 2.75:1. Mean duration of presentation was 8.9 days. Nineteen eyes (36.73%) had injuries with wooden sticks, followed by injury with metallic objects in 16 patients (32.56%). PEI involving zone I was found in 31 eyes (63.25%). The retained intraocular foreign body was found in seven patients (14.2%). The post operative vision improved in almost 24 cases (49%) with visual recovery of 20/200 and better in six cases (12.24%). The vitreous culture was positive in five cases (12.8%) with predominant streptococcus pneumonia in four cases (10.25%).  </p> <p><strong>Conclusions:</strong> Children were the mostly affected group with males outnumbering females. Wooden sticks and metallic objects were the commonest insulting agents. Despite the late presentation and predominant zone I injury, eye could be salvaged in majority with visual recovery of 20/200 and better in six cases <strong>(12.24%).</strong><br><strong><br>Keywords:</strong> <em>endophthalmitis; intra-ocular foreign body; perforating eye injury; vitrectomy .</em></p> <p> </p>}, number={195}, journal={Journal of Nepal Medical Association}, author={Thapa, Raba and Paudyal, Govinda}, year={2014}, month={Sep.}, pages={886–891} }