A Case of Acute Endophthalmitis After 23-gauge Transconjunctival Sutureless Vitrectomy
Journal of the Korean Ophthalmological Society
;
: 899-903, 2010.
Article
in Korean
| WPRIM
| ID: wpr-216717
ABSTRACT
PURPOSE:
To report a case of acute endophthalmitis associated with 23-gauge transconjunctival sutureless vitrectomy and gas tamponade for macular hole surgery. CASESUMMARY:
A 66-year-old female patient who presented with a macular hole in the left eye was treated with 23-gauge transconjunctival sutureless vitrectomy. On postoperative day 2, the patient developed acute endophthalmitis and was treated with gas-fluid exchange, lensectomy and intravitreal antibiotic injection. Staphylococcus epidermidis was detected in the vitreous fluid of the operated eye. Intraoperative fundus findings showed severe retinal hemorrhage, vascular occlusion and fibrous membranes due to inflammatory response. After treatment, the patient's fundus findings markedly improved and the inflammatory response was controlled.CONCLUSIONS:
Acute endophthalmitis after sutureless vitrectomy performed via intraocular gas injection may quickly result in inflammation and disease due to infection. Immediate reoperation and intravitreal antibiotic injections are recommended in such cases.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reoperation
/
Retinal Perforations
/
Staphylococcus epidermidis
/
Vitrectomy
/
Retinal Hemorrhage
/
Endophthalmitis
/
Eye
/
Inflammation
/
Membranes
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2010
Type:
Article
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