Early vitrectomy: An effective treatment for acute postcataract surgery endophthalmitis
Background: Endophthalmitis is a rare but a high morbid complication after cataract surgery, and a gold standard treatment is not recommended yet. In this study, we aim to evaluate the effect of early vitrectomy on the visual acuity of patients with postcataract endophthalmitis. Materials and Method...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Advanced Biomedical Research |
| Subjects: | |
| Online Access: | http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=79;epage=79;aulast=Fazel |
| _version_ | 1827783499240701952 |
|---|---|
| author | Farhad Fazel Najafabadi Ali Salehi Mohammad Hadi Vaezi Heshmatollah Ghanbari Mohamadreza Fazel Najafabadi Nima Koosha Zahra Jafarzadeh |
| author_facet | Farhad Fazel Najafabadi Ali Salehi Mohammad Hadi Vaezi Heshmatollah Ghanbari Mohamadreza Fazel Najafabadi Nima Koosha Zahra Jafarzadeh |
| author_sort | Farhad Fazel Najafabadi |
| collection | DOAJ |
| description | Background: Endophthalmitis is a rare but a high morbid complication after cataract surgery, and a gold standard treatment is not recommended yet. In this study, we aim to evaluate the effect of early vitrectomy on the visual acuity of patients with postcataract endophthalmitis.
Materials and Methods: This study was a single-arm clinical trial on 27 patients with postcataract surgery endophthalmitis. Early vitrectomy was the intervention. Visual acuity as the primary outcome was evaluated and compared at baseline, at discharge, and 1 and 3 months after the intervention.
Results: From 27 patients who included in our study, six patients gain favorable visual acuity of 5/10 and above (success rate = 22%), and four of them have no improvement in their visual acuity. Retinal detachment was reported as a complication in just one case. Negative culture was a predictor for success in terms of visual acuity after the surgery. All patients who gain favorable results, presented in the first 15 days after the cataract surgery.
Conclusion: The result of our study showed that, considering complete, early vitrectomy for the treatment of postcataract surgery endophthalmitis, especially for those who presented in the first 15 days of cataract surgery and for those who have negative culture is promising. |
| first_indexed | 2024-03-11T15:48:26Z |
| format | Article |
| id | doaj.art-d5df63cb3fc446af82a371d294207553 |
| institution | Directory Open Access Journal |
| issn | 2277-9175 |
| language | English |
| last_indexed | 2024-03-11T15:48:26Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Advanced Biomedical Research |
| spelling | doaj.art-d5df63cb3fc446af82a371d2942075532023-10-26T05:43:16ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752023-01-01121797910.4103/abr.abr_44_21Early vitrectomy: An effective treatment for acute postcataract surgery endophthalmitisFarhad Fazel NajafabadiAli SalehiMohammad Hadi VaeziHeshmatollah GhanbariMohamadreza Fazel NajafabadiNima KooshaZahra JafarzadehBackground: Endophthalmitis is a rare but a high morbid complication after cataract surgery, and a gold standard treatment is not recommended yet. In this study, we aim to evaluate the effect of early vitrectomy on the visual acuity of patients with postcataract endophthalmitis. Materials and Methods: This study was a single-arm clinical trial on 27 patients with postcataract surgery endophthalmitis. Early vitrectomy was the intervention. Visual acuity as the primary outcome was evaluated and compared at baseline, at discharge, and 1 and 3 months after the intervention. Results: From 27 patients who included in our study, six patients gain favorable visual acuity of 5/10 and above (success rate = 22%), and four of them have no improvement in their visual acuity. Retinal detachment was reported as a complication in just one case. Negative culture was a predictor for success in terms of visual acuity after the surgery. All patients who gain favorable results, presented in the first 15 days after the cataract surgery. Conclusion: The result of our study showed that, considering complete, early vitrectomy for the treatment of postcataract surgery endophthalmitis, especially for those who presented in the first 15 days of cataract surgery and for those who have negative culture is promising.http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=79;epage=79;aulast=Fazelcataract surgeryearly vitrectomyendophthalmitisvitrectomy |
| spellingShingle | Farhad Fazel Najafabadi Ali Salehi Mohammad Hadi Vaezi Heshmatollah Ghanbari Mohamadreza Fazel Najafabadi Nima Koosha Zahra Jafarzadeh Early vitrectomy: An effective treatment for acute postcataract surgery endophthalmitis Advanced Biomedical Research cataract surgery early vitrectomy endophthalmitis vitrectomy |
| title | Early vitrectomy: An effective treatment for acute postcataract surgery endophthalmitis |
| title_full | Early vitrectomy: An effective treatment for acute postcataract surgery endophthalmitis |
| title_fullStr | Early vitrectomy: An effective treatment for acute postcataract surgery endophthalmitis |
| title_full_unstemmed | Early vitrectomy: An effective treatment for acute postcataract surgery endophthalmitis |
| title_short | Early vitrectomy: An effective treatment for acute postcataract surgery endophthalmitis |
| title_sort | early vitrectomy an effective treatment for acute postcataract surgery endophthalmitis |
| topic | cataract surgery early vitrectomy endophthalmitis vitrectomy |
| url | http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=79;epage=79;aulast=Fazel |
| work_keys_str_mv | AT farhadfazelnajafabadi earlyvitrectomyaneffectivetreatmentforacutepostcataractsurgeryendophthalmitis AT alisalehi earlyvitrectomyaneffectivetreatmentforacutepostcataractsurgeryendophthalmitis AT mohammadhadivaezi earlyvitrectomyaneffectivetreatmentforacutepostcataractsurgeryendophthalmitis AT heshmatollahghanbari earlyvitrectomyaneffectivetreatmentforacutepostcataractsurgeryendophthalmitis AT mohamadrezafazelnajafabadi earlyvitrectomyaneffectivetreatmentforacutepostcataractsurgeryendophthalmitis AT nimakoosha earlyvitrectomyaneffectivetreatmentforacutepostcataractsurgeryendophthalmitis AT zahrajafarzadeh earlyvitrectomyaneffectivetreatmentforacutepostcataractsurgeryendophthalmitis |