Clinical effect of 23 - gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery
10.3980/j.issn.1672-5123.2018.2.36
- VernacularTitle:23G玻璃体切割术治疗白内障术后迟发型眼内炎的疗效观察
- Author:
Yuan ZHANG
1
;
Wei JIN
;
Xuan XIAO
;
An-Huai YANG
Author Information
1. 武汉大学人民医院眼科中心
- Keywords:
cataract surgery;
delay - onset endophthalmitis;
pas plana vitrectomy
- From:
International Eye Science
2018;18(2):343-345
- CountryChina
- Language:Chinese
-
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 follows:11 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.
