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Endophthalmitis following pars plana vitrectomy: a literature review of incidence, causative organisms, and treatment outcomes.

Dave VP, Pathengay A, Schwartz SG, Flynn HW - Clin Ophthalmol (2014)

Bottom Line: Endophthalmitis following pars plana vitrectomy is a very uncommon cause of endophthalmitis.Cases reported over the last decade show a decrease in incidence over time.To optimize visual outcome, early diagnosis and treatment are essential.

View Article: PubMed Central - PubMed

Affiliation: Smt Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, GMR Varalakshmi Campus, Visakhapatnam, India.

ABSTRACT
Endophthalmitis following pars plana vitrectomy is a very uncommon cause of endophthalmitis. Cases reported over the last decade show a decrease in incidence over time. To optimize visual outcome, early diagnosis and treatment are essential. In this review we report a summary of the incidence of endophthalmitis following vitrectomy, various risk factors for their occurrence, the microbiological profile and the visual outcomes post treatment.

No MeSH data available.


Related in: MedlinePlus

Anterior segment photograph of a patient with endophthalmitis following pars plana vitrectomy operated for rhegmatogenous retinal detachment. Cultures were positive for Bacillus cereus. Visual acuity was light perception after treatment.
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f1-opth-8-2183: Anterior segment photograph of a patient with endophthalmitis following pars plana vitrectomy operated for rhegmatogenous retinal detachment. Cultures were positive for Bacillus cereus. Visual acuity was light perception after treatment.

Mentions: Endophthalmitis is characterized by severe inflammation of the ocular tissues and fluids. Acute-onset postoperative infectious endophthalmitis is the most frequent category and may be associated with severe visual loss. The incidence of endophthalmitis varies with the surgical procedure performed. The most reported categories of endophthalmitis are following cataract surgery/intraocular lens implantation and following intravitreal injections. A review of the literature indicates the incidence in these scenarios to vary from 0.07% to 0.4% for cataract surgery and from 0.038% to 0.065% for intravitreal injections.1–5 Endophthalmitis following pars plana vitrectomy (PPV) is an uncommon cause of endophthalmitis (Figure 1). The reported rates of post-PPV endophthalmitis have been decreasing over the last decade. In this review, the incidence of post-PPV endophthalmitis, risk factors for occurrence, microbiological profile, and treatment outcomes in the sutureless PPV era are reported.


Endophthalmitis following pars plana vitrectomy: a literature review of incidence, causative organisms, and treatment outcomes.

Dave VP, Pathengay A, Schwartz SG, Flynn HW - Clin Ophthalmol (2014)

Anterior segment photograph of a patient with endophthalmitis following pars plana vitrectomy operated for rhegmatogenous retinal detachment. Cultures were positive for Bacillus cereus. Visual acuity was light perception after treatment.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4222626&req=5

f1-opth-8-2183: Anterior segment photograph of a patient with endophthalmitis following pars plana vitrectomy operated for rhegmatogenous retinal detachment. Cultures were positive for Bacillus cereus. Visual acuity was light perception after treatment.
Mentions: Endophthalmitis is characterized by severe inflammation of the ocular tissues and fluids. Acute-onset postoperative infectious endophthalmitis is the most frequent category and may be associated with severe visual loss. The incidence of endophthalmitis varies with the surgical procedure performed. The most reported categories of endophthalmitis are following cataract surgery/intraocular lens implantation and following intravitreal injections. A review of the literature indicates the incidence in these scenarios to vary from 0.07% to 0.4% for cataract surgery and from 0.038% to 0.065% for intravitreal injections.1–5 Endophthalmitis following pars plana vitrectomy (PPV) is an uncommon cause of endophthalmitis (Figure 1). The reported rates of post-PPV endophthalmitis have been decreasing over the last decade. In this review, the incidence of post-PPV endophthalmitis, risk factors for occurrence, microbiological profile, and treatment outcomes in the sutureless PPV era are reported.

Bottom Line: Endophthalmitis following pars plana vitrectomy is a very uncommon cause of endophthalmitis.Cases reported over the last decade show a decrease in incidence over time.To optimize visual outcome, early diagnosis and treatment are essential.

View Article: PubMed Central - PubMed

Affiliation: Smt Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, GMR Varalakshmi Campus, Visakhapatnam, India.

ABSTRACT
Endophthalmitis following pars plana vitrectomy is a very uncommon cause of endophthalmitis. Cases reported over the last decade show a decrease in incidence over time. To optimize visual outcome, early diagnosis and treatment are essential. In this review we report a summary of the incidence of endophthalmitis following vitrectomy, various risk factors for their occurrence, the microbiological profile and the visual outcomes post treatment.

No MeSH data available.


Related in: MedlinePlus