Four cases of endophthalmitis after 25-gauge pars plana vitrectomy

Tetsuya Mutoh, Koji Kadoya, Makoto ChikudaDepartment of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, JapanAbstract: We report our recent experience with four cases of endophthalmitis (one male, three females) after 25-gauge pars plana vitrectomy (PPV). One was a c...

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Autores principales:	Mutoh T, Kadoya K, Chikuda M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1eb35cb595a543ac8458e633612e6f6c
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spelling	oai:doaj.org-article:1eb35cb595a543ac8458e633612e6f6c2021-12-02T01:12:45ZFour cases of endophthalmitis after 25-gauge pars plana vitrectomy1177-54671177-5483https://doaj.org/article/1eb35cb595a543ac8458e633612e6f6c2012-08-01T00:00:00Zhttp://www.dovepress.com/four-cases-of-endophthalmitis-after-25-gauge-pars-plana-vitrectomy-a10837https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Tetsuya Mutoh, Koji Kadoya, Makoto ChikudaDepartment of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, JapanAbstract: We report our recent experience with four cases of endophthalmitis (one male, three females) after 25-gauge pars plana vitrectomy (PPV). One was a case of persistent cystoid macular edema caused by branch retinal vein occlusion, whereas the remaining three were cases of epiretinal membrane. Preoperative antibiotics before the first PPV procedure were not administered in three of the four cases. Endophthalmitis occurred 2&ndash;4 days after the first procedure in all cases, for which ceftazidime 2.0 mg/0.1 mL and vancomycin 1.0 mg/0.1 mL were injected into the vitreous cavity. This was followed by emergent 20-gauge PPV and intraocular lens removal using an infusion fluid containing ceftazidime and vancomycin. After the second PPV procedure, progress was good in three cases while retinal detachment occurred in the remaining case one month after surgery; this case required a third PPV procedure. Final best-corrected visual acuity ranged from 20/100 to 20/25 for the four cases. Bacterial cultures were negative after the second PPV procedure in all cases. In conclusion, postoperative endophthalmitis occurred in four of 502 cases (0.80%) that underwent 25-gauge PPV at our hospital. It is important to minimize the incidence of endophthalmitis after 25-gauge PPV.Keywords: 25-gauge pars plana vitrectomy, endophthalmitis, incidenceMutoh TKadoya KChikuda MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1393-1397 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Mutoh T Kadoya K Chikuda M Four cases of endophthalmitis after 25-gauge pars plana vitrectomy
description	Tetsuya Mutoh, Koji Kadoya, Makoto ChikudaDepartment of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, JapanAbstract: We report our recent experience with four cases of endophthalmitis (one male, three females) after 25-gauge pars plana vitrectomy (PPV). One was a case of persistent cystoid macular edema caused by branch retinal vein occlusion, whereas the remaining three were cases of epiretinal membrane. Preoperative antibiotics before the first PPV procedure were not administered in three of the four cases. Endophthalmitis occurred 2&ndash;4 days after the first procedure in all cases, for which ceftazidime 2.0 mg/0.1 mL and vancomycin 1.0 mg/0.1 mL were injected into the vitreous cavity. This was followed by emergent 20-gauge PPV and intraocular lens removal using an infusion fluid containing ceftazidime and vancomycin. After the second PPV procedure, progress was good in three cases while retinal detachment occurred in the remaining case one month after surgery; this case required a third PPV procedure. Final best-corrected visual acuity ranged from 20/100 to 20/25 for the four cases. Bacterial cultures were negative after the second PPV procedure in all cases. In conclusion, postoperative endophthalmitis occurred in four of 502 cases (0.80%) that underwent 25-gauge PPV at our hospital. It is important to minimize the incidence of endophthalmitis after 25-gauge PPV.Keywords: 25-gauge pars plana vitrectomy, endophthalmitis, incidence
format	article
author	Mutoh T Kadoya K Chikuda M
author_facet	Mutoh T Kadoya K Chikuda M
author_sort	Mutoh T
title	Four cases of endophthalmitis after 25-gauge pars plana vitrectomy
title_short	Four cases of endophthalmitis after 25-gauge pars plana vitrectomy
title_full	Four cases of endophthalmitis after 25-gauge pars plana vitrectomy
title_fullStr	Four cases of endophthalmitis after 25-gauge pars plana vitrectomy
title_full_unstemmed	Four cases of endophthalmitis after 25-gauge pars plana vitrectomy
title_sort	four cases of endophthalmitis after 25-gauge pars plana vitrectomy
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/1eb35cb595a543ac8458e633612e6f6c
work_keys_str_mv	AT mutoht fourcasesofendophthalmitisafter25gaugeparsplanavitrectomy AT kadoyak fourcasesofendophthalmitisafter25gaugeparsplanavitrectomy AT chikudam fourcasesofendophthalmitisafter25gaugeparsplanavitrectomy
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Four cases of endophthalmitis after 25-gauge pars plana vitrectomy

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