Four Cases of 0.625% Povidone-Iodine Intravitreal Injection Followed by Vitrectomy for Acute Endophthalmitis after Cataract Surgery: Case Report
10.21561/jor.2024.9.2.204
- Author:
Moon Young CHOI
1
;
Gahyung RYU
;
Daruchi MOON
;
Jae Pil SHIN
;
Si Dong KIM
;
Si Yeol KIM
;
Yong Koo KANG
;
Han Sang PARK
;
Yang Jae KIM
Author Information
1. Department of Ophthalmology, Nune Eye Hospital, Namyangju, Korea
- Publication Type:CASE REPORT
- From:
Journal of Retina
2024;9(2):204-209
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:We sought to report the results of 0.625%/0.1 mL of povidone–iodine (PI) intravitreal injection (0.013% PI vitreous concentration) for treating acute endophthalmitis after cataract surgery.Case summary: Case 1 developed acute endophthalmitis one day after cataract surgery. Prompt intervention with PI injection and vitrectomy led to full resolution of inflammation and a visual acuity of 0.8, and the patient remained stable at 10 months. Case 2, a patient with persistent post-cataract inflammation, was treated with PI injection and vitrectomy, resulting in complete resolution of inflammation and improvement of visual acuity to 0.6 by eight months. Case 3 was a diabetic patient who experienced severe acute endophthalmitis.The patient was treated with the above intervention, resulting in full resolution of endophthalmitis; however, he eventually lost vision due to neovascular glaucoma. Case 4 developed recurrent endophthalmitis caused by Achromobacter xylosoxidans after cataract surgery. This patient required multiple vitrectomies, PI injections, and intraocular lens removal, which led to a resolution of inflammation and restoration of visual acuity to 1.0 after 14 months.
Conclusions:0.625%/0.1-mL IPI injection followed by vitrectomy was performed in four acute endophthalmitis patients after cataract surgery and were successfully treated.
