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Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 9/2012

01.09.2012 | Inflammatory Disorders

23-gauge transconjunctival sutureless vitrectomy in treatment of post-operative endophthalmitis

verfasst von: Ahmed M. Almanjoumi, Aurélie Combey, Jean Paul Romanet, Christophe Chiquet

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 9/2012

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Abstract

Purpose

To report the safety and efficacy of 23-gauge (23-G) transconjunctival vitrectomy (TSV) in the surgical management of postoperative endophthalmitis.

Materials and Methods

Ten consecutive patients underwent a 23-G TSV in 2008–2010 after cataract surgery (n = 5) or filtrating surgery (n = 5), and were prospectively studied with a minimum follow-up of 6 months. TSV was performed within a median delay of 1 day after the diagnosis, after one or two injections of intravitreal antibiotics (vancomycin, ceftazidime). Conventional cultures (brain heart infusion media) and/or panbacterial PCR were performed on aqueous humor and/or vitreous samples.

Results

Initial visual acuity was less than or equal to hand motion in all cases, and clinical findings included hypopyon (80%), pupillary fibrin membrane (80%), and dense vitreitis (4+, 100%). The bacteria identified were Gram-positive cocci in 60% of the cases (coagulase-negative staphylococci, 20%; streptococcus, 40%) and Gram-negative bacilli in 10% (moraxella lacunata). All patients had central and peripheral vitrectomy (mean duration, 58.6 ± 16 min). No intraoperative complications were noted. Two patients developed retinal detachment postoperatively and were reoperated. The final visual vision was 20/400 for two patients and 20/50 or better for the other patients.

Conclusion

23-G TSV allows the surgeon to meet the same objectives as the 20-G technique for the treatment of endophthalmitis.
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Metadaten
Titel
23-gauge transconjunctival sutureless vitrectomy in treatment of post-operative endophthalmitis
verfasst von
Ahmed M. Almanjoumi
Aurélie Combey
Jean Paul Romanet
Christophe Chiquet
Publikationsdatum
01.09.2012
Verlag
Springer-Verlag
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 9/2012
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-012-1926-7