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...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2008-09-01
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| Series: | Clinical Ophthalmology |
| Online Access: | http://www.dovepress.com/bacterial-endophthalmitis-following-25-gauge-transconjunctival-suturel-a2242 |
| Summary: | 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 |
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| ISSN: | 1177-5467 1177-5483 |