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Early vitrectomy in the treatment of post‐operative purulent endophthalmitis
Author(s) -
Laatikainen L.,
Tarkkanen A.
Publication year - 1987
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1987.tb07023.x
Subject(s) - vitrectomy , medicine , endophthalmitis , trabeculectomy , ophthalmology , intraocular lens , surgery , cataract surgery , visual acuity , glaucoma
In 1979‐85, 12 cases of purulent post‐operative endophthalmitis (PPE) were treated with broad‐spectrum antibiotics, corticosteroids and vitreous surgery. In 11 eyes endophthalmitis developed after cataract surgery, in 6 of them after an intraocular lens (IOL) implantation, in one eye after trabeculectomy. Signs related to an intraocular infection appeared 2 to 32 days after surgery, earlier in eyes with an IOL or post‐operative complications than in those without. All 5 eyes where vitrectomy was performed within 24 h from the beginning of symptoms retained useful vision (0.1–0.6), whereas 2 of the 7 eyes where vitrectomy was performed later were lost. In the latter two the causative agent was streptococcus. No IOL implants were removed.