Vitrectomy for endophthalmitis after intraocular lens implantation.
OBJECTIVE
To report the results of vitrectomy and intraocular lens (IOL) removal for the treatment of endophthalmitis after IOL implantation.


METHODS
We reviewed 14 eyes of 14 patients who underwent pars plana vitrectomy because of postoperative endophthalmitis. Culture results, surgical methods, and visual outcome are presented.


RESULTS
The cultures grew Enterococcus faecalis (n = 3), Staphylococcus epidermidis (n = 2), Propionibacterium acnes (n = 1), and gram-negative bacillus (n = 3). The eyes infected with E. faecalis had poor visual outcome. Eleven eyes treated by the combination of pars plana vitrectomy and IOL removal did not have a recurrence. The remaining 3 eyes on which only vitrectomy was performed had a recurrence, and the additional procedures consisting of vitrectomy and IOL removal could result in eradicating endophthalmitis.


CONCLUSIONS
A higher rate of E. faecalis was detected and these eyes had severe inflammation and poor visual outcome. Combined vitrectomy and IOL removal may be a more certain method to prevent recurrence.
Horio
N
N
Department of Ophthalmology, Nagoya University School of Medicine, Nagoya, Japan.
Terasaka
H
H
Horiguchi
M
M
Yamamoto
E
E
Miyake
Y
Y
D000368:Aged; D000369:Aged, 80 and over; D020878:Device Removal; D009877:Endophthalmitis / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D013293:Enterococcus faecalis / Q000302:isolation & purification; D015818:Eye Infections, Bacterial / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000209:etiology / Q000382:microbiology / Q000601:surgery; D016908:Gram-Positive Bacterial Infections / Q000209:etiology / Q000382:microbiology / Q000601:surgery; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular / Q000009:adverse effects / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D011425:Propionibacterium acnes / Q000302:isolation & purification; D012086:Reoperation; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000209:etiology / Q000382:microbiology / Q000601:surgery; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D014792:Visual Acuity; D014821:Vitrectomy