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Comparison of outcome of early 25g sutureless vitrectomy versus intravitreal injections in endophthalmitis

Poster Details

First Author: D.Kar INDIA

Co Author(s):                      0   0 0   0 0   0 0   0 0

Abstract Details



Purpose:

TO COMPARE THE EFFECTIVENESS OF EARLY 25G SUTURELESS VITRECTOMY AND INTRAVITREAL INJECTIONS ON VISUAL ACUITY IN CASE OF POST CATARACT SURGERY ENDOPHTHALMITIS. COMPLICATIONS WERE ALSO EVALUATED

Setting:

KAR'S EYE HOSPITAL, MUMBAI, INDIA

Methods:

50 PATIENTS OF POST CATARCT SURGERY ENDOPHTHALMITIS WERE RANDOMLY DIVIDED INTO 2 GROUPS WITH VISUAL ACUITY BETTER THAN HAND MOVEMENTS. ONE GROUP WERE GIVEN INTRAVITREAL INJECTIONS OF VANCOMYCIN, CEFUROXIME & DEXAMETHASONE & OTHER GROUP UNDERWENT IMMEDIATE 25G SUTURELESS VITRECTOMY FOLLOWED BY INTRAVITREAL INJECTIONS. A/C TAP AND VITREOUS TAP WERE DONE IN ALL THE PATIENTS AND STAINING AND CULTURE WAS DONE

Results:

IN GROUP ONE OUT OF 25 PATIENTS ONLY 5(20%) PATIENTS IMPROVED. REMAINING 20 PATIENTS (80%) UNDERWENT VITRECTOMY AFTER 48 HRS. THE DIFFERENCE IN MEAN VISUAL ACUITY AT THE END OF ONE MONTH IN TWO GROUP IS STATISTICAL SIGNIFICANT (P<0.5)

Conclusions:

EARLY 25G SUTURELESS VITRECTOMY FOLLOWED BY INTRAVITREAL INJECTION IS BETTER WAY OF TREATING DEVASTATING COMPLICATION OF CATARCT SURGERY WITH BETTER VISUAL RECOVERY

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