title: Results of anterior chamber clearance via the pars plana in pseudophakic endophthalmitis.
abstract: 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.
authors.affiliation: Rajendra Prasad Centre for Ophthalmic Sciences, All-India Institute of Medical Sciences, New Delhi, India.
authors.forename: Rajashekhar
authors.initials: R
authors.lastname: Patil
authors.forename: Dinesh
authors.initials: D
authors.lastname: Talwar
authors.forename: Lalit K
authors.initials: LK
authors.lastname: Verma
authors.forename: Yog Raj
authors.initials: YR
authors.lastname: Sharma
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Nainiwal
authors.forename: Raj Vardhan
authors.initials: RV
authors.lastname: Azad
authors.forename: Hem K
authors.initials: HK
authors.lastname: Tewari
mesh_terms: 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*