TY - JOUR
T1 - Endophthalmitis post pars plana vitrectomy surgery: Incidence, organisms' profile, and management outcome in a tertiary eye hospital in Saudi Arabia
AU - Albloushi, Bedoor
AU - Mura, Marco
AU - Khandekar, Rajiv
AU - Almesfer, Saleh
AU - Alyahya, Abdulmalik
AU - Alabduljabbar, Khaled
AU - Alrefaie, Shaimaa
AU - Semidey, Valmore
N1 - Publisher Copyright: © 2021 Wolters Kluwer Medknow Publications. All rights reserved.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - PURPOSE: To determine the incidence of endophthalmitis after pars plana vitrectomy (PPV), organisms' profile, and management outcomes at a tertiary eye hospital in a Middle East country. METHODS: In this single-arm cohort study conducted in 2020, medical records of patients who underwent PPV not accompanied by any other intraocular surgery were reviewed; those with a diagnosis of acute endophthalmitis in the immediate postoperative period (within 6 weeks) during the past 6 years were analyzed. RESULTS: A total of 8153 records of PPV surgeries were reviewed. Five cases had endophthalmitis post-PPV with an incidence of 0.061%. Three (0.037%) had positive cultures, all of them for Staphylococcus epidermidis. The interval between PPV and diagnosis of endophthalmitis ranged from 3 to 25 days (mean, 15.8 days). Final vision after treatment ranged from 20/400 to no light perception, and one eye was eviscerated. CONCLUSION: The incidence of endophthalmitis post PPV is low. Despite prompt diagnosis and standard management, visual prognosis seems to be poor. The infective agents for endophthalmitis were commensals from the ocular surface.
AB - PURPOSE: To determine the incidence of endophthalmitis after pars plana vitrectomy (PPV), organisms' profile, and management outcomes at a tertiary eye hospital in a Middle East country. METHODS: In this single-arm cohort study conducted in 2020, medical records of patients who underwent PPV not accompanied by any other intraocular surgery were reviewed; those with a diagnosis of acute endophthalmitis in the immediate postoperative period (within 6 weeks) during the past 6 years were analyzed. RESULTS: A total of 8153 records of PPV surgeries were reviewed. Five cases had endophthalmitis post-PPV with an incidence of 0.061%. Three (0.037%) had positive cultures, all of them for Staphylococcus epidermidis. The interval between PPV and diagnosis of endophthalmitis ranged from 3 to 25 days (mean, 15.8 days). Final vision after treatment ranged from 20/400 to no light perception, and one eye was eviscerated. CONCLUSION: The incidence of endophthalmitis post PPV is low. Despite prompt diagnosis and standard management, visual prognosis seems to be poor. The infective agents for endophthalmitis were commensals from the ocular surface.
KW - Endophthalmitis
KW - intraocular infection
KW - pars plana vitrectomy
UR - http://www.scopus.com/inward/record.url?scp=85105440895&partnerID=8YFLogxK
U2 - https://doi.org/10.4103/meajo.MEAJO_424_20
DO - https://doi.org/10.4103/meajo.MEAJO_424_20
M3 - Article
C2 - 34321815
SN - 0974-9233
VL - 28
SP - 1
EP - 5
JO - Middle East African Journal of Ophthalmology
JF - Middle East African Journal of Ophthalmology
IS - 1
ER -