Int Med Case Rep J. 2020 Jul 24;13:279-284. doi: 10.2147/IMCRJ.S258946. eCollection 2020.
Can Prompt Endoscopic Vitrectomy in Post-Trauma Endophthalmitis with Corneal Edema Avoid Unnecessary Keratoplasties?.
International medical case reports journal
Mohammad Abdul Khader, Rajeev Reddy Pappuru, Vivek Pravin Dave
Affiliations
Affiliations
- Smt. Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, Hyderabad, India.
- Academy for Eye Care Education, LV Prasad Eye Institute, Hyderabad, India.
PMID: 32801939
PMCID: PMC7386801 DOI: 10.2147/IMCRJ.S258946
Abstract
OBJECTIVE: To describe a series of prompt endoscopic vitrectomy in eyes with post-trauma endophthalmitis and hazy cornea.
METHODS: Retrospective consecutive interventional case series. Cases of endophthalmitis with hazy cornea which underwent prompt endoscopic vitrectomy were analyzed. The study period was from August 2018 to April 2019. The final anatomic and functional outcomes are reported here.
RESULTS: Four eyes of four patients were included. Mean age at presentation was 24.50±21.29 years (median 24 years). All cases were post-open globe injury. Microbiology showed smear positivity in 3/4 (75%) and culture positivity in 2/4 (50%). The antibiotic susceptibility was 100% for vancomycin and ceftazidime. Mean follow-up was 7.75±1.7 months (median 7.5 months). Favorable anatomic outcome was seen in 100% of cases and favorable functional outcome in 75% cases.
CONCLUSION: Endoscopic vitrectomy allows for early intervention in endophthalmitis post open-globe injuries. This enables early resolution of infection and avoids a need for unnecessary corneal interventions.
© 2020 Khader et al.
Keywords: corneal opacity; endoscopic vitrectomy; endoscopy; keratoplasty
Conflict of interest statement
The authors report no conflicts of interest in this work.
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