Endophthalmitis in a tertiary center in Nigeria

Background: Endophthalmitis is a sight-threatening condition due to inflammation of intraocular structures usually from infectious organisms. The study aims to identify the pattern of presentation of endophthalmitis in a tertiary center in Nigeria. Materials and Methods: A retrospective observationa...

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Bibliographic Details
Main Authors: Odarosa M Uhumwangho, Efe P Akpata
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Sahel Medical Journal
Subjects:
Online Access:http://www.smjonline.org/article.asp?issn=1118-8561;year=2015;volume=18;issue=2;spage=74;epage=77;aulast=Uhumwangho
Description
Summary:Background: Endophthalmitis is a sight-threatening condition due to inflammation of intraocular structures usually from infectious organisms. The study aims to identify the pattern of presentation of endophthalmitis in a tertiary center in Nigeria. Materials and Methods: A retrospective observational study of cases with a diagnosis of endophthalmitis. Results: Twenty-six eyes of 26 patients were found comprising, 20 (76.9%) males and 6 (23.1%) females. The mean age of the patients was 32.4 ± 24.5 years (range 2-68 years) of which 11 (42.3%) were ≤ 16 years (P < 0.005). There were 14 (53.8%) right eyes and 12 (46.2%) left eyes involved. The most common etiology was post traumatic infection in 16 (61.5%) cases of which 11 (68.8%) occurred in children ≤ 16 years. Complications of cataract surgery was the only surgically related etiology in 7 (26.9) cases. Endogenous endophthalmitis is a rare occurrence. Conclusion: Supervised play in children, strict adherence to asepsis protocol in surgeries, prompt diagnosis with well-equipped ancillary investigations and appropriate early intervention will help limit the incidence of endophthalmitis and improve outcomes.
ISSN:2321-6689