[Pars plana vitrectomy in the treatment of endophthalmitis].
OBJECTIVE
To assess the effectiveness of vitrectomy in the treatment of patients with endophthalmitis.


METHODS
Ten patients with endophthalmitis were qualified for treatment with vitrectomy via pars plana of a cilliary body. Endophthalmitis was diagnosed as resulting from previous: ECCE + I in 3 patients, penetrating bulb injury in 3 patients, penetrating keratoplasty in 1 patient; 3 other patients suffered from endogenous endophthalmitis. In all patients prior to surgical procedure samples of the vitreous were collected for bacteriology and mycology tests.


RESULTS
In 9 cases the surgery was followed by intravitreal administration of 1 or 2 antibiotics. In 1 case an antibiotic was added to the infusion solution. In all patients the following data were analyzed together with the result of a surgical procedure: cause of endophthalmitis, visual acquity directly before and after the procedure and over the follow-up period (from 6 months to 3 years), time delay between the onset of endophthalmitis and vitrectomy performed.


CONCLUSIONS
Vitrectomy performed via pars plana of a cilliary body is an effective method of treatment in cases of endophthalmitis. In patients with endophthalmitis early performed vitrectomy, followed by adequate adjuvant pharmacotherapy determine the chances for good postoperative prognosis.
Kmera-Muszyńska
M
M
Kliniki Okulistycznej II Wydziału Lekarskiego AM w Warszawie.
Fakhari
R
R
Graczyńska
E
E
Geneja
A
A
Broniek
G
G
D000328:Adult; D000368:Aged; D009877:Endophthalmitis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015868:Pars Planitis / Q000601:surgery*; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods*