[Nd-YAG capsulotomy and intravitreal antibiotics as treatment of chronic endophthalmitis].
OBJECTIVE
To study the effectiveness of Yag capsulotomy, therapeutic vitreal aspiration and intravitreal injection of antibiotics combination on the treatment of chronic postoperative endophthalmitis.


METHODS
Six patients with symptoms of refractory postoperative endophthalmitis after extracapsular cataract extraction, with an intraocular lens were treated following a protocol that included: YAG capsulotomy, vitreal aspiration and intravitreal injection of antibiotics.


RESULTS
In four cases -66%- the micro-organism was isolated -three cases of coagulase- negative staphylococci and one case Corynebacterium spp. In all the cases the inflammatory process decreased, and a noticeable improvement of visual acuity was achieved. No recurrent cases were observed (two patients died before the end of the study).


CONCLUSIONS
As way of conclusion we can state that the initial capsulotomy allows the destruction of the infection reservoir in order to eradicate the agent. This endophthalmitis therapeutic alternative is effective, easy and reliable for the ophthalmologist.
Rojo
A
A
Servicio de Oftalmología, Hospital Miguel Servet, Zaragoza, España.
Ferrer
E
E
Torrón
C
C
Villuendas
M C
MC
Ruiz
O
O
Pablo
L
L
Honrubia
F M
FM
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002908:Chronic Disease; D003131:Combined Modality Therapy; D009877:Endophthalmitis / Q000628:therapy*; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents