MICROBIAL KERATITIS PROGRESSING TO ENDOPHTHALMITIS: CLINICAL ASPECTS, THERAPY, VISUAL PROGNOSIS AND OUTCOMES.

Published 2022 - 26th ESCRS Winter Meeting

Reference: P125 | Type: Abstracts | DOI: 10.82333/vwz9-0166

Authors: Souhaila Benameur* ¹ , kenza elhamraoui ¹ , meryem chokayri ¹ , Adil mchachi ¹ , laila benhmidoune ² , abderrahmane chakib ¹ , rayad rachid ¹ , mohamed elbelhadji ¹

¹Adult Ophthalmology Department,20 august hospital, Ibn Rochd Teaching Hospital,Casablanca,Morocco, ²Adult Ophthalmology Department,20 august hospital, Ibn Rochd Teaching Hospital,casablanca,Morocco

Purpose

To evaluate symptoms, therapies and outcomes of microbial keratitis progressing to endophthalmitis

Setting

Infectious endophthalmitis is a rare and severe inflammation of the intraocular tissues and fluids of the eye.

Endophthalmitis can either be exogenous or endogenous.

Although the prognosis of endophthalmitis has much improved with the advances of antibiotics and vitreoretinal surgery, of the number of patients that required evisceration or enucleation is still significant.

Methods

Retrospective study with 35 patients treated between 2019 and 2021.

The data included clinical findings, visual acuity, corneal diseases, past medical history, history of steroids and trauma, use of contact lenses, number and type of surgical interventions and causative organisms.

Results

Our study included 35 eyes from 35 patients with endophthalmitis.

The mean age was 51.2 ± 28.9 years.

There were 13 (37.1%) women and 22 (62.8%) men.

Average time from start of ulcer symptoms to diagnosis of endophthalmitis was 8.4 ± 11.0 days

85% of the patients were on topical antibiotics before the diagnosis was made

There were pre-existent eyelid and corneal problems in 65.7%.

Ocular trauma was found in 14.2%

In 91.4 % no pathogens were identifiable.

Intravitreal injection of antibiotics was performed in all cases.

Evisceration was performed in 17.1%

Conclusion

Progression of infectious keratitis to endophthalmitis is relatively uncommon.

The overall outcome is poor

A prompt referral to ophthalmologists and an early intervention and closer monitoring of the disease progression in corneal ulcer are crucial for controlling ocular inflammation to prevent the loss of eyes.