Study finds Risk Factors and Outcomes of Retinal Detachment
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A Study was conducted to analyze the risk factors, clinical course, and visual and anatomic outcomes of retinal detachment (RD) after endophthalmitis.

This retrospective study included 108 patients diagnosed with endophthalmitis. 16 patients developed RD after endophthalmitis. Retrospective analysis was performed to compare the cohort of endophthalmitis alone versus the cohort that developed RD after endophthalmitis, with analysis of potential risk factors for RD after endophthalmitis and treatment outcomes.

Results:
--The incidence of RD after endophthalmitis was 14.8% (N=16/108). The median time to develop RD after endophthalmitis was 27 days.

--13 cases of RD occurred less than 2 months after the diagnosis of endophthalmitis. The incidence of aphakia and posterior synechia (PS) were significantly higher in the RD group.

--The mean initial and final visual acuity (VA) of the endophthalmitis alone group was 1.9± 0.8 logMAR and 1.2± 1.0 logMAR, respectively, and 1.9± 0.9 logMAR and 1.3± 1.2 logMAR in the RD group, respectively.

--Enucleation or evisceration occurred in 31.3% of cases with RD after endophthalmitis. The rate of final retinal re-apposition for the RD cohort was 56.3%.

To summarize, the anatomic and functional outcomes of RD after endophthalmitis remain low, with a high risk of permanent vision loss. In cases of RD after endophthalmitis, aphakia and posterior synechiae were more common.

Source: https://www.dovepress.com/retinal-detachment-after-endophthalmitis-risk-factors-and-outcomes-peer-reviewed-article-OPTH
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