ACUTE-ONSET ENDOPHTHALMITIS AFTER CATARACT SURGERY Success of Initial Therapy, Visual Outcomes, and Related Factors

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dc.contributor.authorAltan, Tugrul
dc.contributor.authorAcar, Nur
dc.contributor.authorKapran, Ziya
dc.contributor.authorUnver, Yaprak Banu
dc.contributor.authorYurttaser, Serap
dc.contributor.authorKucuksumer, Yasar
dc.contributor.authorEser, Ilker
dc.date.accessioned2025-01-27T20:52:21Z
dc.date.available2025-01-27T20:52:21Z
dc.date.issued2009
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractPurpose: To evaluate the success of initial treatment and the factors influencing the outcome in acute-onset endophthalmitis after cataract surgery. Methods: We retrospectively reviewed the medical records of all patients with acute postoperative endophthalmitis between 2000 and 2007. We performed pars plana vitrectomy (PPV) to all eyes with initial visual acuity of light perception. Eyes with visual acuity of hand motions or better underwent either intraocular antibiotic injection (IOAI) or PPV. Eyes that did not give a good clinical response to initial therapy within 60 hours underwent a second procedure. The main outcome measure was the rate of early reintervention after PPV and IOAI. Results: We evaluated 88 eyes of 88 patients. Thirty-seven patients underwent PPV and 51 patients underwent IOAI alone. Six of 37 (16.2%) patients required 1 or more procedures within 60 hours of the initial procedure in the PPV group. Twenty-eight of 51 eyes (54.9%) in the IOAI group underwent PPV within 60 hours. The rate of response to primary PPV was significantly higher than to primary IOAI (P < 0.001). Gram-negative organisms composed 35.1% of the isolates. Conclusion: Pars plana vitrectomy may be preferable to IOAI in postoperative endophthalmitis since the rate of early reintervention is lower with initial PPV. RETINA 29:606-612, 2009
dc.identifier.doi10.1097/IAE.0b013e3181953a31
dc.identifier.endpage612
dc.identifier.issn0275-004X
dc.identifier.issue5
dc.identifier.pmid19174718
dc.identifier.scopus2-s2.0-66349109711
dc.identifier.scopusqualityQ1
dc.identifier.startpage606
dc.identifier.urihttps://doi.org/10.1097/IAE.0b013e3181953a31
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25742
dc.identifier.volume29
dc.identifier.wosWOS:000266059000007
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofRetina-The Journal of Retinal and Vitreous Diseases
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectcataract surgery
dc.subjectendophthalmitis
dc.subjectpars plana vitrectomy
dc.titleACUTE-ONSET ENDOPHTHALMITIS AFTER CATARACT SURGERY Success of Initial Therapy, Visual Outcomes, and Related Factors
dc.typeArticle

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