Abstract
Purpose: To discuss the use of minimally invasive, small gauge vitrectomy for acute postcataract endophthalmitis in patients with better than light-perception vision. Patient: 71-year-old man presented with redness, pain, and decreased vision of his left eye 11 days after cataract extraction. His visual acuity was counting fingers at 1 foot and slit-lamp examination revealed severe conjunctival injection, corneal edema, and hypopyon. The clinical impression was of acute postcataract endophthalmitis. Methods: Patient was taken for immediate vitrectomy with simultaneous vitreous tap for culture, PCR, and injection of intravitreal vancomycin and ceftazidime. Results: Culture and PCR of vitreous sample were positive for Staphylococcus epidermidis. Vision improved to 20/20 1 month postoperatively with complete resolution of vitreous inflammation and retinal vasculitis. Conclusion: In postcataract endophthalmitis with dense vitritis and diffuse retinal vasculitis, immediate, 25-gauge vitrectomy may result in return of baseline visual acuity.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 320-322 |
| Number of pages | 3 |
| Journal | Retinal Cases and Brief Reports |
| Volume | 10 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2016 |
Keywords
- Cataract surgery
- Endophthalmitis
- Vitrectomy
ASJC Scopus subject areas
- Ophthalmology
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