Background
To evaluate the rate, risk factors, functional outcome and prognosis in eyes with retinal detachment after post-operative endophthalmitis treated with 23G Pars Plana Vitrectomy.
Methods
Electronic patient files from 2009 until 2018 were screened for the presence of an endophthalmitis. Included were 116 eyes of 116 patients. This population was evaluated for the rate of retinal detachment after 23G Pars Plana Vitrectomy for endophthalmitis following cataract surgery or intravitreal injection. The main outcome measures were retinal detachment and visual acuity.
Results
The reasons for endophthalmitis were previous cataract surgery in 78 patients and following intravitreal injection in 38 patients. The first clinical evidence of endophthalmitis was present in median 5 days after the triggering intervention. Twenty-five eyes (21.55%) developed a retinal detachment an average of 25 days after endophthalmitis. RD is significantly associated with preoperative visual acuity (p = 0.001).
Conclusions
We emphasize the prognostic role of preoperative visual acuity in RD development of the endophthalmitis treated with 23G Pars Plana Vitrectomy.
Purpose Diabetic macular edema (DME) is the main cause of loss of vision over the course of diabetes. In this study we sought to know whether DME was more severe in Seine st Denis, a french area, where the poverty is higher than in other french plac
Methods We enrolled all patients suffering from DME and treated by ranibizumab intravitreal injections between November 2012 and April 2013. In order to evaluate the severity of DME and the medical management of diabetes of these patients, we collected the following parameters: central macular thickness measured by SD‐OCT, the best corrected visual acuity, diabetic retinopathy severity, HbA1c, diabetes duration, and associated diseases.
Results We included 25 type 2 diabetic patients (8 women and 17 men), the mean age was 64± 8,1 years. Mean central macular thickness was 523 ± 145 μm. The best corrected visual acuity was 51 letters at baseline (counting fingers‐ 70 letters). 22 patients (88%) had a severe non proliferative diabetic retinopathy or a proliferative diabetic retinopathy. Mean HbA1c was 7,8% (+/‐ 2,3%). For 23 cases (92%), diabetes was associated with high blood pressure, and the average was 14,5±2 /8,5 ± 1,3 mmHg. Diabetes lasted for 13,1 years at baseline.
Conclusion Diabetic patients, in this case series, had a more severe DME regarding macular thickness and visual acuity than patients from large randomized studies found in the literature. This severity could be due to a sub optimal management of their diabetes. DME may become a tool to witness a limited access to good medical cares.
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