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Am J Ophthalmol. 2004 Nov;138(5):799-802.

Endophthalmitis after pars plana vitrectomy: Incidence, causative organisms, and visual acuity outcomes.

Author information

1
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA.

Abstract

PURPOSE:

To investigate the incidence, causative organisms, and visual acuity outcomes associated with endophthalmitis after pars plana vitrectomy.

DESIGN:

Retrospective, noncomparative, consecutive case series.

METHODS:

The medical records were reviewed of all patients who developed acute-onset postoperative endophthalmitis (within 6 weeks of surgery) after pars plana vitrectomy at Bascom Palmer Eye Institute between January 1, 1984 and December 31, 2003.

RESULTS:

During the 20-year study interval, the overall incidence rate of postvitrectomy endophthalmitis was 0.039% (6/15,326). Cultured organisms were Staphylococcus aureus (n = 3), Proteus mirabilus (n = 1), and Staphylococcus epidermidis/Pseudomonas aeruginosa (n = 1); one case was culture-negative. Visual acuity after treatment for endophthalmitis ranged from 2/200 to no light perception, with a final vision of light perception or no light perception in four of six (67%) eyes.

CONCLUSION:

The incidence of endophthalmitis after pars plana vitrectomy is low but the visual acuity outcomes after treatment are generally poor.

PMID:
15531315
DOI:
10.1016/j.ajo.2004.06.035
[Indexed for MEDLINE]

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