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INTRAOCULAR POVIDONE-IODINE DURING PARS PLANA VITRECTOMY FOR SEVERE AND ATYPICAL ENDOPHTHALMITIS
Kavon Rahmani1, Michael Saad2, Kim Le3
1Department of Ophthalmology, Visual and Anatomical Sciences, Wayne State University School of Medicine, Detroit, Michigan.
Retina (Philadelphia, Pa.)
|January 2, 2026
Summary
Povidone-iodine (PI) infusion during pars plana vitrectomy (PPV) for endophthalmitis is safe and effective. This treatment led to significant visual acuity improvement and infection resolution in a high-risk patient group.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Endophthalmitis is a severe intraocular infection.
- Pars plana vitrectomy (PPV) is a key surgical treatment for endophthalmitis.
Purpose of the Study:
- To evaluate the safety and efficacy of povidone-iodine (PI) infusion during PPV for severe endophthalmitis.
Main Methods:
- Retrospective case series of 41 eyes with endophthalmitis.
- PPV performed with 0.025% PI in the infusion solution.
- Outcomes assessed: infection resolution, visual acuity, need for further surgery, and ocular toxicity.
Main Results:
- Infection resolved in 80.4% of eyes.
- Visual acuity improved in 70.7% of eyes.
- No ocular toxicity or vision loss linked to PI infusion was observed.
Conclusions:
- 0.025% PI infusion during PPV is safe for endophthalmitis treatment.
- Favorable post-surgical outcomes were achieved in a high-risk cohort.
Keywords:
PIPPVantimicrobial therapyantisepticatypical endophthalmitisendogenous endophthalmitisendophthalmitiseye infectionintraocular infusionmicrobial resistancepostoperative endophthalmitissevere endophthalmitissurgical managementvitrectomyMore Related Videos
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