[Results in the treatment of acute endophthalmitis by vitrectomy using limbal incision].
OBJECTIVE
To describe the results obtained in the treatment of acute onset endophthalmitis after cataract surgery in our center using vitrectomy with corneal limbal incisions.


METHODS
Study carried out in 12 patients with acute endophthalmitis after cataract surgery in whom a posterior vitrectomy by limbic incisions was performed followed by intravitreal injections of antibiotics (vancomycin + ceftazidime/amikacin) with systemic and topical antibiotic and corticosteroid treatment in the post-operative period.


RESULTS
The incidence of endophthalmitis in our center was 0.92%. The most frequently isolated microorganism was Staphylococcus epidermidis (4 cases, 33.33%). Four cases were negative (33.33%). A visual acuity equal to or greater than 0.5 at three months was obtained in 6 patients (50%). Only one case required a second administration of intravitreal injections. One patient suffered vitreal hemorrhaging in the post-operative period, and no other complications were observed in the remaining patients.


CONCLUSIONS
We consider that vitrectomy through limbal incisions is a valid alternative for acute onset endophthalmitis treatment.
Romero Aroca
P
P
Servicio de Oftalmología, Hospital Universitario Sant Joan de Reus, Departamento de Medicina y Cirugía, Universidad Rovira y Virgili, Espana.
Salvat Serra
M
M
Perena Soriano
F
F
Martínez Salcedo
I
I
D000208:Acute Disease; D000368:Aged; D009877:Endophthalmitis / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods