| ORIGINAL ARTICLE |
|
| Year : 2023 | Volume
: 12
| Issue : 1 | Page : 79 |
|
|
Early vitrectomy: An effective treatment for acute postcataract surgery endophthalmitis
Farhad Fazel Najafabadi1, Ali Salehi1, Mohammad Hadi Vaezi1, Heshmatollah Ghanbari1, Mohamadreza Fazel Najafabadi1, Nima Koosha1, Zahra Jafarzadeh2
1 Department of Ophthalmology, Isfahan Eye Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 Department of Ophthalmology, Shahrekord University of Medical Sciences, Shahr-e Kord, Iran
Correspondence Address:
Dr. Mohammad Hadi Vaezi
Isfahan Eye Research Center, Feiz Hospital, Isfahan Univesity of Medical Sciences, Isfahan
Iran
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/abr.abr_44_21
|
|
|
Background: Endophthalmitis is a rare but a high morbid complication after cataract surgery, and a gold standard treatment is not recommended yet. In this study, we aim to evaluate the effect of early vitrectomy on the visual acuity of patients with postcataract endophthalmitis.
Materials and Methods: This study was a single-arm clinical trial on 27 patients with postcataract surgery endophthalmitis. Early vitrectomy was the intervention. Visual acuity as the primary outcome was evaluated and compared at baseline, at discharge, and 1 and 3 months after the intervention.
Results: From 27 patients who included in our study, six patients gain favorable visual acuity of 5/10 and above (success rate = 22%), and four of them have no improvement in their visual acuity. Retinal detachment was reported as a complication in just one case. Negative culture was a predictor for success in terms of visual acuity after the surgery. All patients who gain favorable results, presented in the first 15 days after the cataract surgery.
Conclusion: The result of our study showed that, considering complete, early vitrectomy for the treatment of postcataract surgery endophthalmitis, especially for those who presented in the first 15 days of cataract surgery and for those who have negative culture is promising.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
