{"title":"Post-vitrectomy endophthalmitis complicated with orbital cellulitis treated with hyperbaric oxygen therapy: A case report.","authors":"Yi-Ju Shen, Li-Ching Liu, I-Chia Liang","doi":"10.1097/MD.0000000000042043","DOIUrl":null,"url":null,"abstract":"<p><strong>Rationale: </strong>Infectious endophthalmitis developed in silicone oil (SO)-filled eyes after pars plana vitrectomy is a very rare but serious complication. Hyperbaric oxygen therapy (HBOT) has been reported to be effective in few studies of infectious endophthalmitis and orbital cellulitis.</p><p><strong>Patient concerns: </strong>This study reported a case of 71-year-old female with swelling of her left eye 1 week after pars plana vitrectomy and SO tamponade.</p><p><strong>Diagnoses: </strong>Acute infectious endophthalmitis complicated with orbital cellulitis and compartment syndrome in a postvitrectomy SO-filled eye.</p><p><strong>Interventions: </strong>Intravitreal injection of antibiotics and HBOT.</p><p><strong>Outcomes: </strong>The severe inflammatory condition of soft tissue with compartment syndrome and elevated intraocular pressure which could not be controlled ameliorated markedly after initiation of HBOT.</p><p><strong>Lessons: </strong>By taking advantages of the features of HBOT, it may be a good adjuvant treatment option for endophthalmitis cases along with antibiotics and surgical therapy.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e42043"},"PeriodicalIF":1.4000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977736/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/MD.0000000000042043","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Rationale: Infectious endophthalmitis developed in silicone oil (SO)-filled eyes after pars plana vitrectomy is a very rare but serious complication. Hyperbaric oxygen therapy (HBOT) has been reported to be effective in few studies of infectious endophthalmitis and orbital cellulitis.
Patient concerns: This study reported a case of 71-year-old female with swelling of her left eye 1 week after pars plana vitrectomy and SO tamponade.
Diagnoses: Acute infectious endophthalmitis complicated with orbital cellulitis and compartment syndrome in a postvitrectomy SO-filled eye.
Interventions: Intravitreal injection of antibiotics and HBOT.
Outcomes: The severe inflammatory condition of soft tissue with compartment syndrome and elevated intraocular pressure which could not be controlled ameliorated markedly after initiation of HBOT.
Lessons: By taking advantages of the features of HBOT, it may be a good adjuvant treatment option for endophthalmitis cases along with antibiotics and surgical therapy.
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