J Korean Ophthalmol Soc.  2011 Oct;52(10):1167-1172. 10.3341/jkos.2011.52.10.1167.

The Clinical Outcomes of 23-Gauge Transconjunctival Sutureless Vitrectomy for Endophthalmitis after Cataract Surgery

• Jeon CY
• Lee TG
• Na SJ

• KMID: 2214998
• DOI: http://doi.org/10.3341/jkos.2011.52.10.1167

Abstract

PURPOSE
To report the clinical outcomes and utility of 23-gauge (G) transconjunctival sutureless vitrectomy (TSV) in patients with postoperative endophthalmitis following cataract surgery.
METHODS
The medical records of 16 patients (17 eyes) who underwent 23-G TSV between January 2008 and December 2009 at Konyang University Hospital due to postoperative endophthalmitis following cataract surgery were retrospectively analyzed. The pre- and post-operative best-corrected visual acuities (BCVA), changes in intraocular pressure, the time from diagnosis to surgery, the intraoperative and postoperative complications, and the average duration of hospitalization were investigated.
RESULTS
The mean BCVA significantly improved from log MAR 1.89 +/- 1.03 to log MAR 0.42 +/- 0.82 (p = 0.001), and the mean intraocular pressure changed from 16.1 +/- 4.1 mm Hg at baseline to 16.2 +/- 3.3 mm Hg on the first postoperative day without any significant difference (p = 0.955). In addition, none of the patients required sutures to treat wound leakage or showed hypotony on follow-up observation. The average operation time was 64.7 +/- 22.5 minutes, and the average duration of hospitalization was 5.4 +/- 4.5 days.
CONCLUSIONS
The use of 23-G TSV in patients with postoperative endophthalmitis following cataract surgery may offer more convenience for the surgeon and more comfort for the patient. In addition, the patient may return to normal life earlier with a shortened duration of hospitalization.

Keyword

Endophthamitis after cataract surgery; Postoperative endophthalmitis; 23-gauge transconjunctival sutureless; vitrectomy

MeSH Terms

Cataract
Endophthalmitis
Follow-Up Studies
Hospitalization
Humans
Intraocular Pressure
Medical Records
Postoperative Complications
Retrospective Studies
Sutures
Visual Acuity
Vitrectomy

Figure

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  Figure 1. The pre- and post-operative visual acuity.

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  Figure 2. Time from diagnosis to initiation of surgery.

Reference

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