title: Bacterial endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy.
abstract: OBJECTIVE
  To report a case of endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy.
  
  
  METHODS
  Observational case report.
  
  
  METHODS
  An 87-year-old male who underwent sutureless 25-gauge vitrectomy developed unilateral endophthalmitis. Vitreous culture revealed Staphylococcus coagulase-negative bacteria. He was subsequently treated with intravitreal antibiotics and oral prednisone.
  
  
  RESULTS
  The endophthalmitis resolved with a best corrected visual acuity of 6/200 with the presence of an epiretinal membrane.
  
  
  CONCLUSIONS
  Possible contributing factors to endophthalmitis following sutureless vitrectomy include decreased vitreous irrigation/lavage, lack of a watertight wound, and/or vitreous wicking, all of which may promote intraocular bacterial entrance. A sutureless vitrectomy system may increase the risk of vitrectomy-associated endophthalmitis.
authors: The Mason Eye Institute, University of Missouri, Columbia, Missouri, USA.
authors: Drew N
authors: DN
authors: Sommerville
authors: Dean P
authors: DP
authors: Hainsworth