title: Acute endophthalmitis following 23-gauge sutureless transconjunctival vitrectomy.
abstract: We report a case that developed acute postoperative endophthalmitis after transconjunctival sutureless vitrectomy using the 23-gauge system. A 66-year-old man underwent non-sutured 23-gauge pars plana vitrectomy for epimacular membrane. Since the patient developed signs of acute endophthalmitis and decreased visual acuity to counting fingers on the second postoperative day, re-vitrectomy with silicone oil was performed. The patient responded well to re-vitrectomy, injection of silicone oil and intravitreal antibiotic injections. Methicillin resistant Staphylococcus epidermidis was cultured from vitreous samples. Silicone oil was extracted at 11 months. The patient remains stable at 14 months with a final visual acuity of 20/50.
authors.affiliation: Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey. ocekic@hotmail.com
authors.forename: Osman
authors.initials: O
authors.lastname: Cekic
authors.forename: Mehmet
authors.initials: M
authors.lastname: Cakir
authors.forename: Serpil
authors.initials: S
authors.lastname: Yazgan
authors.forename: O Faruk
authors.initials: OF
authors.lastname: Yilmaz
mesh_terms: D000208:Acute Disease; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D057785:Catheters / Q000009:adverse effects*; D009877:Endophthalmitis / Q000209:etiology* / Q000382:microbiology; D019773:Epiretinal Membrane / Q000601:surgery; D004867:Equipment Design; D006801:Humans; D056965:Injections, Intraocular; D058449:Intravitreal Injections; D008297:Male; D012086:Reoperation; D012827:Silicone Oils / Q000008:administration & dosage; D013203:Staphylococcal Infections / Q000188:drug therapy; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology; D013537:Sutures; D014821:Vitrectomy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*
chemical_list: D000900:Anti-Bacterial Agents; D012827:Silicone Oils