Bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy

Drew N Sommerville, Dean P HainsworthThe Mason Eye Institute, University of Missouri, Columbia, Missouri, USAPurpose: To report a case of endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy.Design: Observational case report.Methods: An 87-year-old male who underwent sutureless...

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Autores principales:	Drew N Sommerville, Dean P Hainsworth
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1c5f163403264b1987c9917b9850e7ca
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spelling	oai:doaj.org-article:1c5f163403264b1987c9917b9850e7ca2021-12-02T07:57:27ZBacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy1177-54671177-5483https://doaj.org/article/1c5f163403264b1987c9917b9850e7ca2008-09-01T00:00:00Zhttp://www.dovepress.com/bacterial-endophthalmitis-following-25-gauge-transconjunctival-suturel-a2242https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Drew N Sommerville, Dean P HainsworthThe Mason Eye Institute, University of Missouri, Columbia, Missouri, USAPurpose: To report a case of endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy.Design: Observational case report.Methods: An 87-year-old male who underwent sutureless 25-gauge vitrectomy developed unilateral endophthalmitis. Vitreous culture revealed Staphylococcus coagulase-negative bacteria. He was subsequently treated with intravitreal antibiotics and oral prednisone.Results: The endophthalmitis resolved with a best corrected visual acuity of 6/200 with the presence of an epiretinal membrane.Conclusions: Possible contributing factors to endophthalmitis following sutureless vitrectomy include decreased vitreous irrigation/lavage, lack of a watertight wound, and/or vitreous wicking, all of which may promote intraocular bacterial entrance. A sutureless vitrectomy system may increase the risk of vitrectomy-associated endophthalmitis.Keywords: endophthalmitis, 25-gauge vitrectomy, vitreous wick, sutureless, high flow lavage Drew N SommervilleDean P HainsworthDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2008, Iss Issue 4, Pp 935-936 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Drew N Sommerville Dean P Hainsworth Bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy
description	Drew N Sommerville, Dean P HainsworthThe Mason Eye Institute, University of Missouri, Columbia, Missouri, USAPurpose: To report a case of endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy.Design: Observational case report.Methods: An 87-year-old male who underwent sutureless 25-gauge vitrectomy developed unilateral endophthalmitis. Vitreous culture revealed Staphylococcus coagulase-negative bacteria. He was subsequently treated with intravitreal antibiotics and oral prednisone.Results: The endophthalmitis resolved with a best corrected visual acuity of 6/200 with the presence of an epiretinal membrane.Conclusions: Possible contributing factors to endophthalmitis following sutureless vitrectomy include decreased vitreous irrigation/lavage, lack of a watertight wound, and/or vitreous wicking, all of which may promote intraocular bacterial entrance. A sutureless vitrectomy system may increase the risk of vitrectomy-associated endophthalmitis.Keywords: endophthalmitis, 25-gauge vitrectomy, vitreous wick, sutureless, high flow lavage
format	article
author	Drew N Sommerville Dean P Hainsworth
author_facet	Drew N Sommerville Dean P Hainsworth
author_sort	Drew N Sommerville
title	Bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy
title_short	Bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy
title_full	Bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy
title_fullStr	Bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy
title_full_unstemmed	Bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy
title_sort	bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/1c5f163403264b1987c9917b9850e7ca
work_keys_str_mv	AT drewnsommerville bacterialendophthalmitisfollowing25gaugetransconjunctivalsuturelessvitrectomy AT deanphainsworth bacterialendophthalmitisfollowing25gaugetransconjunctivalsuturelessvitrectomy
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Bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy

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