Management of endophthalmitis while preserving the uninvolved crystalline lens
| Autor: | Townsend J, Pathengay A, Flynn Jr HW, Miller D |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Clinical Ophthalmology, Vol 2012, Iss default, Pp 453-457 (2012) |
| Druh dokumentu: | article |
| ISSN: | 1177-5467 1177-5483 |
| 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: | Directory of Open Access Journals |
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