Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery
AIM: To discuss the clinical effect of 23-gauge pas plana vitrectomy(PPV)for delay-onset endophthalmitis following cataract surgery. <p>METHODS: This retrospective chart review study included patients with delay-onset endophthalmitis that was present 6wk or more after cataract surgery, who und...
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doaj-358621440377496488b1a5dd68b771cb2020-11-25T00:07:10ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232018-02-0118234334510.3980/j.issn.1672-5123.2018.2.36Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgeryYuan Zhang0Wei Jin1Xuan Xiao2An-Huai Yang3Ophthalmic Center,Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, ChinaOphthalmic Center,Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, ChinaOphthalmic Center,Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, ChinaOphthalmic Center,Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, ChinaAIM: To discuss the clinical effect of 23-gauge pas plana vitrectomy(PPV)for delay-onset endophthalmitis following cataract surgery. <p>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. <p>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. <p>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.http://ies.ijo.cn/cn_publish/2018/2/201802036.pdfcataract surgerydelay-onset endophthalmitispas plana vitrectomypas plana vitrectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yuan Zhang Wei Jin Xuan Xiao An-Huai Yang |
spellingShingle |
Yuan Zhang Wei Jin Xuan Xiao An-Huai Yang Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery Guoji Yanke Zazhi cataract surgery delay-onset endophthalmitis pas plana vitrectomy pas plana vitrectomy |
author_facet |
Yuan Zhang Wei Jin Xuan Xiao An-Huai Yang |
author_sort |
Yuan Zhang |
title |
Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery |
title_short |
Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery |
title_full |
Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery |
title_fullStr |
Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery |
title_full_unstemmed |
Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery |
title_sort |
clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery |
publisher |
Press of International Journal of Ophthalmology (IJO PRESS) |
series |
Guoji Yanke Zazhi |
issn |
1672-5123 1672-5123 |
publishDate |
2018-02-01 |
description |
AIM: To discuss the clinical effect of 23-gauge pas plana vitrectomy(PPV)for delay-onset endophthalmitis following cataract surgery. <p>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. <p>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. <p>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. |
topic |
cataract surgery delay-onset endophthalmitis pas plana vitrectomy pas plana vitrectomy |
url |
http://ies.ijo.cn/cn_publish/2018/2/201802036.pdf |
work_keys_str_mv |
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