Clinical effect of 23 - gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery / 国际眼科杂志(Guoji Yanke Zazhi)
International Eye Science
;
(12): 343-345, 2018.
Article
in Chinese
| WPRIM
| ID: wpr-695195
ABSTRACT
AIM:
To discuss the clinical effect of 23-gauge pas plana vitrectomy ( PPV) for delay-onset endophthalmitis following cataract surgery.?METHODS:
This retrospective chart review study included patients with delay-onset endophthalmitis that was present 6wk or more after cataract surgery, who underwent 23-gauge PPV from January 2010 to January 2016 at Renmin Hospital of Wuhan University. The diagnosis was made according to clinical symptoms and signs. The postoperative follow - up results were recorded, including anterior segment examinations, fundus examinations, and best-corrected visual acuity.?RESULTS:
Totally 15 patients (15 eyes) were included. The average time between cataract surgery and their eye symptoms of endophthalmitis was 5. 13 ± 2. 41mo. The culture isolates revealed that 9 eyes ( 60%) were cultured positive, anaerobes in 4 eyes (44%), fungal infections in 3 eyes ( 33%) , aerobes in 2 eyes ( 22%) . The mean follow-up period was 12mo. The final visual outcomes were as follows11 eyes ( 73%) achieved a better vision with PPV; 3 eyes ( 20%) achieved a better vision with PPV, total capsulectomy ( TC ) and IOL removal; 1 eye ( 7%) with PPV, silicone oil tamponade, total capsulectomy ( TC ) and IOL removal was enucleated because of uncontrolled inflammation.?CONCLUSION:
The 23-gauge PPV is safe and effective for the management of delay - onset endophthalmitis following cataract surgery. Recurrence rate might be decreased with total capsulectomy and IOL removal.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
International Eye Science
Year:
2018
Type:
Article
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