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[Pars plana vitrectomy in cases of endophthalmitis non-responding to antibiotic therapy]
G Popiela1, J Oficjalska-Młyńczak, M H Nizankowska
1Katedry i Kliniki Okulistyki AM we Wrocławiu.
Unlabelled:
The aim of the study is the evaluation of the results of pars plana vitrectomy in the cases of endophthalmitis unresponding to antibiotictherapy.
Material And Methods:
The procedure of pars plana vitrectomy was carried out in 7 patients treated preoperatively by intraocular injections of antibiotics because of endophthalmitis at Ophthalmological Department of Medical University in Wrocław in the years 1996-1998. The age of patients was 33-88 years (mean 67). The postoperative follow up was 6 to 28 months.
Results:
Endophthalmitis resulted in all cases from cataract surgery. The positive microbiological traces were in 4 cases. In 3 cases pathogenic microbes were Staphylococcus epidermidis, in 1 Staphylococcus aureus and Micrococcus. In all patients the symptoms of inflammatory process disappeared after vitrectomy. In 5 patients we achieved the full visual acuity (0.8-1.0), in 1 patient bullous kerathopathy developed and in 1 phthisis bulbi.
Conclusions:
Vitrectomy may lead to good functional outcome in 70% of postoperative endophthalmitis.