[Pars plana vitrectomy in cases of endophthalmitis non-responding to antibiotic therapy].
The aim of the study is the evaluation of the results of pars plana vitrectomy in the cases of endophthalmitis unresponding to antibiotictherapy.


METHODS
The procedure of pars plana vitrectomy was carried out in 7 patients treated preoperatively by intraocular injections of antibiotics because of endophthalmitis at Ophthalmological Department of Medical University in Wrocław in the years 1996-1998. The age of patients was 33-88 years (mean 67). The postoperative follow up was 6 to 28 months.


RESULTS
Endophthalmitis resulted in all cases from cataract surgery. The positive microbiological traces were in 4 cases. In 3 cases pathogenic microbes were Staphylococcus epidermidis, in 1 Staphylococcus aureus and Micrococcus. In all patients the symptoms of inflammatory process disappeared after vitrectomy. In 5 patients we achieved the full visual acuity (0.8-1.0), in 1 patient bullous kerathopathy developed and in 1 phthisis bulbi.


CONCLUSIONS
Vitrectomy may lead to good functional outcome in 70% of postoperative endophthalmitis.
Popiela
G
G
Katedry i Kliniki Okulistyki AM we Wrocławiu.
Oficjalska-Młyńczak
J
J
Nizankowska
M H
MH
Koziorowska
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D009877:Endophthalmitis / Q000188:drug therapy* / Q000382:microbiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015868:Pars Planitis / Q000382:microbiology / Q000601:surgery*; D013203:Staphylococcal Infections; D020713:Vancomycin Resistance; D014821:Vitrectomy / Q000379:methods*
Witrektomia w stanach zapalnych wnetrza gałki ocznej opornych na leczenie zachowawcze.