Results of anterior chamber clearance via the pars plana in pseudophakic endophthalmitis.
OBJECTIVE
Patients with endophthalmitis have extensive fibrinous exudates in the anterior chamber. Clearance of these exudates in pseudophakic patients during vitrectomy is difficult. We evaluated the results of the pars plana approach for clearing these exudates.


METHODS
Eighteen patients with pseudophakic endophthalmitis underwent clearance of anterior chamber exudates through the pars plana approach after initial creation of a peripheral iridectomy with a vitrectome.


RESULTS
The exudates were adequately cleared in all 18 patients with good posterior segment visualization during vitrectomy. Minor punctate iris bleeds (4 patients), intraoperative dislocation of the intraocular lens (IOL) (1 patient) and postoperative dislocation of the IOL following blunt trauma, 9 months after vitrectomy (1 patient) were the complications noted.


CONCLUSIONS
This technique is simple, safe and helps clearing anterior chamber exudates. It also permits excellent visualization during vitrectomy for pseudophakic endophthalmitis.
Patil
Rajashekhar
R
Rajendra Prasad Centre for Ophthalmic Sciences, All-India Institute of Medical Sciences, New Delhi, India.
Talwar
Dinesh
D
Verma
Lalit K
LK
Sharma
Yog Raj
YR
Nainiwal
Sanjeev
S
Azad
Raj Vardhan
RV
Tewari
Hem K
HK
D000867:Anterior Chamber / Q000601:surgery*; D002387:Cataract Extraction / Q000009:adverse effects; D009877:Endophthalmitis / Q000209:etiology / Q000601:surgery*; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D032801:Iridectomy / Q000379:methods*; D019654:Lens Implantation, Intraocular; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D011446:Prospective Studies; D019591:Pseudophakia / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods*