Features & Outcomes of eyes after Surgical repair of Rhegmat
A Study was conducted to evaluate the etiology, clinical course, and outcomes of eyes that suffered postendophthalmitis rhegmatogenous retinal detachments.

A retrospective, consecutive case series was conducted of patients. Patients were identified as having had endophthalmitis by ICD-9/10 codes. Those with endophthalmitis and/or rhegmatogenous retinal detachment were excluded.

Results:
--Charts of 413 patients were reviewed and 19 met inclusion criteria. Incidence of rhegmatogenous retinal detachment following infectious endophthalmitis was 4.6%.

--The most common inciting events for endophthalmitis was intravitreal injection (9 of 19) and cataract surgery (7 of 19).

--15 of 19 patients were treated with an injection of intravitreal antibiotics and 4 underwent immediate vitrectomy with antibiotic injection.

--Biopsy cultures were obtained in 18 of 19 patients and yielded positive growth in 12. 17 of the 19 eyes were operable.

--Final retinal reattachment rate was 88.2%. Mean final logMAR visual acuity was 1.58.

--Factors associated with worse final visual acuity after surgical repair included preceding intravitreal injection, streptococcus species, presence of proliferative vitreoretinopathy, and use of silicone oil during primary rhegmatogenous retinal detachment repair.

To summarize, rhegmatogenous retinal detachments after endophthalmitis are uncommon. Although most eyes can be surgically repaired, visual outcomes are generally poor, especially in eyes infected with streptococcal species and having proliferative vitreoretinopathy.

Source: https://journals.lww.com/retinajournal/Abstract/2021/08000/FEATURES_AND_OUTCOMES_OF_EYES_THAT_UNDERWENT.5.aspx
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