Early Pars Plana Vitrectomy in Post- Cataract Surgery Endophthalmitis
Purpose
to evaluate the role of early nearly complete pars plana vitrectomy with limited posterior vitreous detachment) PVD) induction and intravitreal dexamethasone injection in patients complicated with post-cataract surgery endophthalmitis.
Methods
Patients complicated with post cataract-surgery acute endophthalmitis were included. After having diagnosed by the retinal specialist, patients underwent standard 3 port pars plana vitrectomy through which with triamcinolone assistance PVD induced up to the arcades. The peripheral vitreous was removed safely as much as possible without shaving. intravitreal ceftazidime and vancomycin and dexamethasone was injected and no tamponade used.
Results
36 eyes from 36 patients were included. There was 21 males and 15 females. The mean age of the patients was 65 +/-3 years. the patient’s vison at the time of diagnosis was light perception in 25 eyes and hand motion in 11 eyes. The duration between cataract surgery and emerging endophthalmitis was 7+/- 2 days. Patients were followed up for at least 6 months at which the best corrected visual acuity was 20/20 in all patients and the central retinal thickness was 260 +/- 15 microns in optical coherence tomography (OCT) which was not statistically different from the sound normal eye. (p value< 0.05)
Conclusion
while the early vitrectomy study does not recommend vitrectomy in post cataract surgery endophthalmitis patients presented with hand motion vision, and while posterior vitreous detachment and intravitreal steroid injection are matters of debate too, in this interventional prospective case series we have found good results with early vitrectomy and limited PVD induction and intravitreal dexamethasone injection in all of our patients
Conflict of interest
No
Authors 1
Last name
AZADI
Initials of first name(s)
P
Department
ophthalmology
City
kermanshah
Country
Iran
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