Management of endophthalmitis while preserving the uninvolved crystalline lens
| Autor: | Harry Flynn Jr., null Avinash Pathengay, Darlene Miller, Justin H Townsend |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Pars plana
medicine.medical_specialty intravitreal Visual acuity genetic structures medicine.medical_treatment Vitrectomy 03 medical and health sciences 0302 clinical medicine Endophthalmitis Ophthalmology Medicine Case Series 030304 developmental biology 0303 health sciences business.industry Clinical Ophthalmology Consecutive case series cataract surgery Cataract surgery phakic eyes medicine.disease eye diseases 3. Good health Posterior chamber intraocular lens medicine.anatomical_structure Lens (anatomy) 030221 ophthalmology & optometry sense organs medicine.symptom intraocular business |
| Zdroj: | Clinical Ophthalmology (Auckland, N.Z.) |
| ISSN: | 1177-5483 1177-5467 |
| Popis: | Justin Townsend, Avinash Pathengay, Harry W Flynn Jr, Darlene MillerDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL, USABackground: The purpose of this work is to report on the management of endophthalmitis in phakic eyes in which the crystalline lens was preserved.Methods: The current study is a noncomparative consecutive case series of patients who developed culture-proven endophthalmitis and were treated between January 1995 and June 2009. The study included only phakic patients whose infection was managed without removal of the crystalline lens. Using a computerized search of Microbiology Department records, patients were identified with phakic lens status and clinically diagnosed endophthalmitis.Results: A total of 12 phakic eyes from 11 patients met the study criteria. The etiology of infection was endogenous (n = 6), postoperative (n = 5), and post-traumatic (n = 1). Pars plana vitrectomy and injection of intravitreal antimicrobials was performed in seven eyes (58%), and vitreous tap and injection of antimicrobials was performed in five eyes (42%). All eyes showed progression of lens opacification after treatment. Overall, nine (75%) achieved visual acuity outcomes ≥20/80, including five of seven (71%) eyes treated with vitrectomy and four of five eyes (80%) treated with injection of antibiotics alone. One of seven eyes (14%) treated with vitrectomy had a poor visual outcome (defined as |
| Databáze: | OpenAIRE |
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