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 Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery

Yuan Zhang, Wei Jin, Xuan Xiao, An-Huai Yang, An -Huai Yang, Renmin Ophthalmic Center
unpublished
誗 AIM: To discuss the clinical effect of 23-gauge pas plana vitrectomy (PPV) for delay-onset endophthalmitis following cataract surgery. 誗 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
more » ... -up results were recorded, including anterior segment examinations, fundus examinations, and best-corrected visual acuity. 誗RESULTS: Totally 15 patients (15 eyes) were included. The average time between cataract surgery and their eye symptoms of endophthalmitis was 5. 13 依 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. 誗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. 誗 KEYWORDS: cataract surgery; delay-onset endophthalmitis; pas plana vitrectomy Citation:Zhang Y, Jin W, Xiao X, et al. Clinical effect of 23-gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery. Guoji Yanke Zazhi (Int Eye Sci) 2018;18 (2) : 343-345
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