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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.
References
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Table 1.
Distribution and demographic characteristics of the patients
| Case No. | Age | Sex | Culture | PreOP* BCVA† | PostOP‡ BCVA (6 mon) | PreOP IOP§ (mm Hg) | PostOP IOP (mm Hg) | PreOP INJ∏ | PostOP INJ | Hospitalization (day) | Operation time (min) | Remark |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 57 | F | No growth | HM | 0.4 | 11 | 15 | 0 | 0 | 4 | 90 | |
| 2 | 57 | F | No growth | FC | 1.0 | 10 | 16 | 0 | 0 | 4 | 105 | |
| 3 | 74 | F | | 0.06 | 0.8 | 21 | 16 | 0 | 0 | 2 | 40 | |
| 4 | 39 | F | No growth | 0.1 | 1.0 | 25 | 26 | 1 | 0 | 8 | 70 | |
| 5 | 58 | F | | 0.2 | 1.0 | 18 | 18 | 1 | 0 | 2 | 55 | Endolaser |
| 6 | 68 | M | | HM | 1.0 | 15 | 15 | 1 | 0 | 5 | 115 | Post capsulotomy, Endolaser |
| 7 | 70 | F | Staphylococcus epidermidis | 0.2 | 1.0 | 16 | 13 | 0 | 0 | 3 | 55 | |
| 8 | 26 | M | | HM | 1.0 | 16 | 20 | 1 | 0 | 3 | 75 | |
| 9 | 78 | F | No growth # | 0.03 | 0.3 | 13 | 11 | 1 | 1 | 3 | 52 | Previous posterior capsular rupture |
| 10 | 52 | F | Pantoea spp.# | 0.1 | 0.8 | 10 | 13 | 0 | 0 | 6 | 65 | |
| 11 | 83 | M | No growth | HM | FC | 20 | 16 | 1 | 1 | 6 | 80 | Vitreous flushing Macular degeneration |
| 12 | 55 | F | No growth | 0.1 | 0.6 | 11 | 15 | 1 | 0 | 7 | 60 | |
| 13 | 78 | M | | HM | 0.3 | 16 | 15 | 1 | 0 | 5 | 45 | |
| 14 | 50 | M | | FC | 1.0 | 23 | 18 | 0 | 0 | 1 | 43 | |
| 15 | 43 | M | | 0.1 | 1.0 | 18 | 17 | 0 | 0 | 2 | 35 | |
| 16 | 77 | M | Staphylococcus epidermidis | HM | HM | 16 | 14 | 0 | 0 | 18 | 50 | Macular infarction |
| 17 | 63 | M | Staphylococcus epidermidis | HM | 0.5 | 15 | 17 | 0 | 0 | 14 | 65 | Core vitrectomy |
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