Endophtalmitis after injury with intraocular foreign body in posterior segment of the eye

OBJECTIVE: To evaluate morphological and functional results of therapy in patients with endophthalmitis associated with intraocular foreign bodies in posterior segment in retrospective study. MATERIAL AND METHODS: In the Department of Ophthalmology, School of Medicine, Comenius University Bratislava we treated 216 patients (216 eyes) with intraocular foreign bodies in posterior segment of the eye in the years 1989-2007. Endophthalmitis developed in 34 eyes (15.7%). Patients were in age between 7-59 years, average 35.6 years. Patients were examined in outpatient department, follow up ranged from 1 month to 5.6 years, average 1.6 years. We evaluated epidemiological factors, morphological and functional results in this study. RESULTS: Good morphological results were achieved in 18 patients (52.9%) and bad morphological results in 16 patients (47.1%). Enucleation, evisceration of the globe, phthisis and retinal detachment were defined as bad morphological results. Initial visual acuity 5/50 and better had 4 patients (11.8%), less than 5/50 and better than hand movement had 4 patients (11.8%) and hand movement and less had 26 patients (76.5%). Final visual acuity 5/50 and better had 8 patients (23.5%), less 5/50 and better than hand movement had 4 patients (11.8%) and hand movement and less had 22 patients (64.7%). CONCLUSION: Early recognition and correct treatment of posttraumatic endophthalmitis is necessary for maintaining of the eye and its functions. Initial visual acuity better than hand movement is a good prognostic factor.