Session Title: Vitreoretinal Surgery IV
Session Date/Time: Sunday 20/09/2015 | 09:00-10:30
Paper Time: 09:08
First Author: : V.Dave INDIA
Co Author(s): : R. Pappuru A. Pathengay
PURPOSE:To report the clinical presentations and outcomes of endophthalmitis post vitrectomy surgery at a tertiary eye care institute
Retrospective consecutive interventional case series at a tertiary eye care institute in South India
Consecutive cases diagnosed as endophthalmitis post vitrectomy surgery for various indications were analyzed retrospectively. Total of 29,763 records of vitrectomy were reviewed of which 20 eyes had developed post vitrectomy endophthalmitis
Overall incidence of post vitrectomy endophthalmitis was 0.067%. Mean age at presentation was 44.4+/-14.64 years. Mean presenting vision was 2.16+/-1.51 logMAR. Half of the cases were operated for non resolving vitreous hemorrhage and the rest for a combination of rhegmatogenous retinal detachment, dropped nucleus, diabetic tractional detachment and silicone oil removal. Seventeen eyes underwent sutureless surgery and 3 eyes underwent 20G suture assisted surgery (p<0.0001). Fourteen cases were operated by senior faculty (p=0.02). Thirteen eyes had saline tamponade, 3 had oil and 4 had air (p=0.1). Mean interval between the vitreous surgery and endophthalmitis was 4+/-6.89 days, median 1.5 days. Eleven cases were culture positive and 9 were culture negative. Staphyloccocal spp. were the commonest isolates (5) followed by Acenitobacter baumanii (4). The mean follow up was 6.72+/-9.56 months. Mean post operative vision was 1.7+/-1.36 logMAR (p=0.31). Phthisis bulbi was the commonest significant complication noted in 4 eyes.
Endophthalmitis post vitrectomy is a very rare occurrence. Most cases are seen following sutureless surgery. the presentation is acute post operatively and the visual outcome is poor.