Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination

Purpose: The non-contact wide-angle viewing system (WAVS) with chandelier endoillumination is being used more commonly during scleral buckling surgery for rhegmatogenous retinal detachments although its safety has not been established. We report our findings in a case of bacterial endophthalmitis th...

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Main Authors: Takato Sakono, Hiroki Otsuka, Hideki Shiihara, Naoya Yoshihara, Taiji Sakamoto
Format: Article
Language:English
Published: Elsevier 2017-12-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993617300269
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author Takato Sakono
Hiroki Otsuka
Hideki Shiihara
Naoya Yoshihara
Taiji Sakamoto
author_facet Takato Sakono
Hiroki Otsuka
Hideki Shiihara
Naoya Yoshihara
Taiji Sakamoto
author_sort Takato Sakono
collection DOAJ
description Purpose: The non-contact wide-angle viewing system (WAVS) with chandelier endoillumination is being used more commonly during scleral buckling surgery for rhegmatogenous retinal detachments although its safety has not been established. We report our findings in a case of bacterial endophthalmitis that developed after scleral buckling surgery with WAVS and chandelier endoillumination. Observations: A 42-year-old man underwent scleral buckling surgery for a rhegmatogenous retinal detachment in his right eye using a WAVS with chandelier endoillumination. Three days after the surgery, the patient noticed a marked decrease in his vision with ocular pain. Slit-lamp examination showed dense infiltration in the anterior chamber and vitreous body. Pars plana vitrectomy with antibiotic irrigation was done immediately, and Staphylococcus epidermidis was detected in the vitreous fluid. After vancomycin 6/day for 4 weeks, the inflammation gradually subsided, and the visual acuity recovered to 20/20 in 3 months. Conclusions and importance: Acute bacterial endophthalmitis can develop after scleral buckling surgery performed with WAVS and chandelier endoillumination.
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spelling doaj.art-9436c0b07aaa42c08126983f7d54f0712022-12-22T03:42:00ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362017-12-018C71010.1016/j.ajoc.2017.07.007Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoilluminationTakato SakonoHiroki OtsukaHideki ShiiharaNaoya YoshiharaTaiji SakamotoPurpose: The non-contact wide-angle viewing system (WAVS) with chandelier endoillumination is being used more commonly during scleral buckling surgery for rhegmatogenous retinal detachments although its safety has not been established. We report our findings in a case of bacterial endophthalmitis that developed after scleral buckling surgery with WAVS and chandelier endoillumination. Observations: A 42-year-old man underwent scleral buckling surgery for a rhegmatogenous retinal detachment in his right eye using a WAVS with chandelier endoillumination. Three days after the surgery, the patient noticed a marked decrease in his vision with ocular pain. Slit-lamp examination showed dense infiltration in the anterior chamber and vitreous body. Pars plana vitrectomy with antibiotic irrigation was done immediately, and Staphylococcus epidermidis was detected in the vitreous fluid. After vancomycin 6/day for 4 weeks, the inflammation gradually subsided, and the visual acuity recovered to 20/20 in 3 months. Conclusions and importance: Acute bacterial endophthalmitis can develop after scleral buckling surgery performed with WAVS and chandelier endoillumination.http://www.sciencedirect.com/science/article/pii/S2451993617300269Bacterial endophthalmitisAfter scleral bucklingNoncontact wide-angle viewing systemChandelier endoillumination
spellingShingle Takato Sakono
Hiroki Otsuka
Hideki Shiihara
Naoya Yoshihara
Taiji Sakamoto
Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination
American Journal of Ophthalmology Case Reports
Bacterial endophthalmitis
After scleral buckling
Noncontact wide-angle viewing system
Chandelier endoillumination
title Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination
title_full Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination
title_fullStr Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination
title_full_unstemmed Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination
title_short Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination
title_sort acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination
topic Bacterial endophthalmitis
After scleral buckling
Noncontact wide-angle viewing system
Chandelier endoillumination
url http://www.sciencedirect.com/science/article/pii/S2451993617300269
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AT hidekishiihara acutebacterialendophthalmitisafterscleralbucklingsurgerywithchandelierendoillumination
AT naoyayoshihara acutebacterialendophthalmitisafterscleralbucklingsurgerywithchandelierendoillumination
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