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Effect of vitrectomy on epiretinal membranes after endogenous fungal endophthalmitis
Abstract:
Pars plana vitrectomy was used to remove proliferative membranes caused by endogenous fungal endophthalmitis in 3 patients (3 eyes). Tractional retinal detachment was present in all. In 2 eyes, a fibrovascular membrane originated in the optic nerve head and was connected to a full-thickness chorioretinal scar. In the other, a thick preretinal membrane was found in the macula, with total retinal detachment. In all eyes, the epiretinal membrane was successfully removed and the retina reattached. Visual outcome depended on the site of the chorioretinal scar. We advocate pars plana vitrectomy as the method of choice for tractional retinal detachment following fungal endophthalmitis.
Insights
Pars plana vitrectomy effectively treats tractional retinal detachment caused by fungal endophthalmitis. This surgical approach reattaches the retina, with visual outcomes influenced by scar location.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Infectious Diseases
Background:
- Endogenous fungal endophthalmitis can lead to severe vision-threatening complications.
- Tractional retinal detachment (TRD) is a known complication, often involving proliferative membranes.
- Surgical intervention is frequently required to manage TRD in these cases.
Observation:
- Three patients with fungal endophthalmitis presented with TRD.
- Proliferative membranes, some originating from the optic nerve head and connected to chorioretinal scars, were observed.
- One case involved a macular preretinal membrane causing total retinal detachment.
Findings:
- Pars plana vitrectomy successfully removed epiretinal membranes in all three cases.
- Retinal reattachment was achieved in all patients following surgery.
- Postoperative visual acuity was correlated with the location of the underlying chorioretinal scar.
Implications:
- Pars plana vitrectomy is a viable and effective surgical option for TRD secondary to fungal endophthalmitis.
- Early surgical intervention may improve visual outcomes in select cases.
- Understanding the relationship between scar location and visual prognosis is crucial for patient counseling.