Visual acuity and anatomical outcomes of vitrectomy for post-traumatic endophthalmitis: Analysis of prognostic factors (review)
Year: 2026, volume 22 Issue: №2 Pages: 139-144
Heading: Ophthalmology Article type: Review
Authors: Abakarov S.A., Snitkina E.V., Loskutov I.A.
Organization: Moscow Regional Research and Clinical Institute ("MONIKI")
Heading: Ophthalmology Article type: Review
Authors: Abakarov S.A., Snitkina E.V., Loskutov I.A.
Organization: Moscow Regional Research and Clinical Institute ("MONIKI")
Summary:
Objective: to determine the key prognostic factors for functional and anatomical outcomes of vitrec-tomy in post-traumatic endophthalmitis (PTE). Review writing methodology. A literature search was performed in PubMed, Scopus, eLibrary, and CyberLeninka databases for the period 2016–2026 using the keywords: “post-traumatic endophthalmitis”, “vitrectomy”, “visual outcomes”, “prognostic factors”, “retinal detachment”, “intraocular foreign body” (and their Russian-language counterparts). After screening and eligibility assessment, 12 original cohort studies were included in the fnal qualitative analysis, selected in accordance with the PRISMA (Preferred reporting items for systematic reviews and meta-analyses) fow diagram. Conclusion. Vitrectomy is a highly effective treatment for PTE, improving visual acuity in 80% of patients; however, ambulatory vision (≥20/200) is achieved in only one-third of them. Key independent predictors of a favorable prognosis are early treatment initiation (within 24 hours), small wound size, absence of an intraocular foreign body, and initial visual acuity better than light perception.
Keywords: vitrectomy, visual acuity, systematic review, prognostic factor, posttraumatic endophthalmitis
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