Vancomycin in infusion during vitrectomy in surgical treatment of acute postoperative and posttraumatic endophthalmitis

Session Details

Session Title: Free Paper Session 6: Vitreoretinal Surgery II

Session Date/Time: Thursday 07/09/2017 | 14:30-16:00

Paper Time: 15:36

Venue: Room 111

First Author: : K.Nowomiejska POLAND

Co Author(s): :    T. Choragiewicz   A. Grzybowski   A. Juenemann   R. Rejdak                    

Abstract Details

Purpose:

To describe the visual outcomes and causative pathogens in acute bacterial postoperative and posttraumatic endophthalmitis treated with immediate pars plana vitrectomy (PPV) with Vancomycin dissolved in the infusion fluid.

Setting:

Clinical study

Methods:

Clinical records of consecutive 30 patients with postoperative endophthalmitis and 15 patients with posttraumatic endophthalmitis were evaluated. Vancomycin was administered constantly in the infusion fluid at the time of complete PPV. Cultures were prepared from anterior chamber paracentesis. The mean follow-up period was 13 months.

Results:

The visual acuities were improved in 38 cases (84%) and remained stable in 7 cases (16%). Median post-PPV visual acuity was 1.0 logMAR in a group with postoperative endophthalmitis and 1.3 logMAR in a group with posttraumatic endophthalmitis (p<0.05). Twenty cases (44%) were culture-positive (Staphylococcus, Streptococcus, Enterococcus and Bacillus spp).

Conclusions:

The visual acuities were improved in 38 cases (84%) and remained stable in 7 cases (16%). Median post-PPV visual acuity was 1.0 logMAR in a group with postoperative endophthalmitis and 1.3 logMAR in a group with posttraumatic endophthalmitis (p<0.05). Twenty cases (44%) were culture-positive (Staphylococcus, Streptococcus, Enterococcus and Bacillus spp).

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