Combined pars plana vitrectomy and silicone oil injection for the treatment of acute postoperative infectious endophthalmitis.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY International Ophthalmology Pub Date : 2025-02-07 DOI:10.1007/s10792-025-03425-5

Ayman Lotfy, Ahmed Nour Kotb, Ali Goda Ali, Marwa A Khairy

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Abstract

Purpose: To evaluate the efficacy of early pars plana vitrectomy (PPV) and silicone oil (SO) tamponade for treating acute post-phacoemulsification infectious endophthalmitis.

Methods: This retrospective study included 44 eyes of 44 patients who developed early endophthalmitis after uneventful phacoemulsification. PPV with SO tamponade was performed within 24 h of presentation.

Results: A significant improvement in logMAR visual acuity (VA) was reported in our patients; (2.595 ± 0.249 at baseline compared to 1.052 ± 0.462 at final visit), with P value 0.0001. SO was removed in all cases after 4-9 months (6 ± 1.3) and all patients continued follow-up for at least 6 months after SO removal (15.4 ± 6.5). Postoperative complications included; three eyes (6.8%) developing severe proliferative vitreoretinopathy (PVR), four eyes (9.1%) developing inferior retinal detachment (RD) under SO, Two eyes (4.5%) developing pupillary block glaucoma and two eyes (4.5%) suffered from recurrent RD after SO removal.

Conclusion: Early PPV with SO tamponade for the treatment of acute endophthalmitis after phacoemulsification has good visual outcomes and lower complication rates if performed early within 24 h of patient presentation.

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玻璃体切割联合硅油注射治疗急性术后感染性眼内炎。

目的：评价早期玻璃体部切除联合硅油填塞治疗急性超声乳化术后感染性眼内炎的疗效。方法：回顾性研究44例术后发生早期眼内炎的44只眼。PPV与SO填塞在24小时内进行。结果：我们的患者的logMAR视力（VA）有显著改善；（基线时为2.595±0.249，终诊时为1.052±0.462），P值为0.0001。所有病例均在术后4-9个月（6±1.3）切除了SO，所有患者在术后随访至少6个月（15.4±6.5）。术后并发症包括；3只眼（6.8%）发生严重增生性玻璃体视网膜病变（PVR）， 4只眼（9.1%）发生下视网膜脱离（RD）， 2只眼（4.5%）发生瞳孔闭塞性青光眼，2只眼（4.5%）在SO移除后复发性RD。结论：超声乳化术后急性眼内炎的早期PPV联合SO填塞治疗，如果在患者出现后24 h内早期进行，视力效果好，并发症发生率低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

451

期刊介绍： International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.