[Results of the treatment of acute endophthalmitis after cataract surgery].
Since 1980, the authors have observed 56 cases of endophthalmitis after cataract surgery which they classify into three groups: A. 18 cases of forms confined to the anterior segment, which just received medical treatment; B. 37 cases of more serious forms with vitreous abscess, treated by vitrectomy; C. 1 case of fulminant form which was eviscerated. The results of group B are better than those of group A: organic: 2.7% versus 11.1% of phtisis; functional: 73% of calculable visual acuity versus 66.6%, although the initial forms had been more severe. Vitrectomy, however causes some complications such as initial detachment (16.2%) cystoïd macular oedema (11%) and vascular complications (11%). However that may be, vitrectomy has several advantages: to collect a larger amount of vitreous liquid; to mechanically eliminate the pus; a faster functional rehabilitation by lightening of the vitreous.
Milazzo
S
S
Clinique Ophtalmologique, Centre Saint-Victor, CHU d'Amiens.
Turut
P
P
Caradec
X
X
Krzykala
B
B
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002387:Cataract Extraction / Q000009:adverse effects*; D004630:Emergencies; D009877:Endophthalmitis / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects
D000900:Anti-Bacterial Agents
Résultats du traitement des endophtalmies aiguës après chirurgie de la cataracte.