Occurrence and risk factors for retinal detachment after pars plana vitrectomy in acute postcataract bacterial endophthalmitis
| Autor: | Christophe, Chiquet, Florent, Aptel, Aurélie, Combey-de Lambert, Alain M, Bron, Nelly, Campolmi, Karine, Palombi, Gilles, Thuret, Frédéric, Rouberol, Pierre-Loïc, Cornut, Catherine, Creuzot-Garcher, Roger Tran Manh, Sung |
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| Přispěvatelé: | Université Grenoble Alpes (UGA), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Centre des Sciences du Goût et de l'Alimentation [Dijon] (CSGA), Institut National de la Recherche Agronomique (INRA)-Université de Bourgogne (UB)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire de Saint-Etienne, Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon (HCL), Health Ministry (PHRC, French public programme of clinical research), AFAU (French association of unilateral amblyopia), ARFO (association for research and learning in ophthalmology) and the Laboratoires Thea., Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Centre National de la Recherche Scientifique (CNRS)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Institut National de la Recherche Agronomique (INRA)-Université de Bourgogne (UB), Université Grenoble Alpes ( UGA ), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand ( CHU Dijon ), Centre des Sciences du Goût et de l'Alimentation [Dijon] ( CSGA ), Institut National de la Recherche Agronomique ( INRA ) -Université de Bourgogne ( UB ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Centre National de la Recherche Scientifique ( CNRS ), Hospices Civils de Lyon ( HCL ) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Male Proliferative vitreoretinopathy retina Visual acuity medicine.medical_treatment Posterior pole Vitrectomy Eye Infections Bacterial spectrum treatment surgery cataract-extraction 0302 clinical medicine Endophthalmitis Risk Factors Prospective Studies surgery endophthalmitis Retinal detachment Prognosis Sensory Systems 3. Good health medicine.anatomical_structure [ SDV.MHEP.OS ] Life Sciences [q-bio]/Human health and pathology/Sensory Organs Acute Disease Female France medicine.symptom management Pars plana medicine.medical_specialty Cataract Extraction Risk Assessment 03 medical and health sciences Cellular and Molecular Neuroscience postoperative endophthalmitis [ SDV.MHEP ] Life Sciences [q-bio]/Human health and pathology Ophthalmology medicine Humans Surgical Wound Infection [SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs early sign Aged Retinal vasculitis business.industry microbiology Retinal Detachment medicine.disease infection Surgery 030104 developmental biology inflammation 030221 ophthalmology & optometry identification business [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology Follow-Up Studies |
| Zdroj: | British Journal of Ophthalmology British Journal of Ophthalmology, BMJ Publishing Group, 2016, 100 (10), pp.1388-1392. ⟨10.1136/bjophthalmol-2015-307359⟩ British Journal of Ophthalmology, BMJ Publishing Group, 2016, 100 (10), pp.1388-1392. 〈10.1136/bjophthalmol-2015-307359〉 |
| ISSN: | 0007-1161 1468-2079 |
| DOI: | 10.1136/bjophthalmol-2015-307359⟩ |
| Popis: | [b]Background/aims[/b] To report the incidence, risk factors and prognosis of retinal detachment (RD) in patients who had vitrectomy for acute bacterial endophthalmitis after cataract surgery. [b]Methods[/b] 123 patients with acute postcataract endophthalmitis, consecutively treated with pars plana vitrectomy (PPV) were included by the French Institutional Endophthalmitis Study group, in a prospective multicentre cohort study. Risk factors of RD were analysed using logistic regression. [b]Results[/b] At the 6-month follow-up, the rate of post-PPV RD was 13% (n=16). The risk factors of post-PPV RD were diabetes (OR=4.7 (1.4-15.4), p=0.01) and visualisation of retinal vasculitis on the posterior pole (OR=3.8 (1.1-13.9), p=0.03) at the time of PPV. Postoperative RD occurred in 56% (n=9) of cases in the first month, in 31% (n=5) in the second month and in 6% (n=1) in the third month, with a mean delay of 4771days after PPV. The macula was detached in 12 cases (75%) and proliferative vitreoretinopathy grade C was present in seven cases. Final successful reattachment of the retina was obtained in 60% (n=9/15) of cases, with one (7/9) or two surgeries (2/9). Final visual acuity after surgical repair was 20/40 in 19% of cases, compared with 43% in patients without RD (p=0.05). [b]Conclusions[/b] RD is a major and severe complication of PPV performed in patients with acute postcataract endophthalmitis. Retinal vasculitis is a major risk factor of RD after PPV. Anatomical and functional outcome remain poor. |
| Databáze: | OpenAIRE |
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