Pars plana vitrectomy for late vitreoretinal sequelae of infectious endophthalmitis: Surgical management and outcomes

Benjamin J. Thomas, Neesurg Mehta, Yoshihiro Yonekawa, Jayanth Sridhar, Ajay E. Kuriyan, Nidhi Relhan, Michelle C. Liang, Maria A. Woodward, Andre J. Witkin, Chirag Shah, Harry W. Flynn, Sunir J. Garg, Jeremy D. Wolfe

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Purpose: To report the visual acuity outcomes after pars plana vitrectomy for delayed vitreoretinal sequelae of infectious endophthalmitis. All eyes were initially treated with intravitreal antibiotics (Abx). Methods: Multicenter, retrospective, consecutive case series. Results: Forty-two eyes met the study criteria. The mean follow-up was 48 weeks (SD ± 61.8). Mean interval from Abx to pars plana vitrectomy was 13 weeks (SD ± 14.3, range 2- 70). Indications for pars plana vitrectomy included vitreous opacities (VO) (n = 22), epiretinal membrane (n = 9), and retinal detachment (n = 11). LogMAR visual acuity improved from 1.87 (Snellen equivalent: 20/1,482) preoperatively to 1.35 (Snellen equivalent: 20/447) at final evaluation (P< 0.001). LogMAR visual acuity improved significantly for patients with vitreous opacities (P<0.01) and retinal detachment (P = 0.02) but not for patients with epiretinal membranes (P = 0.08). Conclusion: Patients with infectious endophthalmitis can gain vision if they have a pars plana vitrectomy for delayed sequelae such as vitreous opacities or for retinal detachment.

Original languageEnglish (US)
Pages (from-to)651-656
Number of pages6
JournalRetina
Volume37
Issue number4
DOIs
StatePublished - 2017

Keywords

  • Endophthalmitis
  • Epiretinal membrane
  • Pars plana vitrectomy
  • Retinal detachment
  • Surgery
  • Surgical outcomes
  • Uveitis
  • Vitreous opacities

ASJC Scopus subject areas

  • Ophthalmology

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    Thomas, B. J., Mehta, N., Yonekawa, Y., Sridhar, J., Kuriyan, A. E., Relhan, N., Liang, M. C., Woodward, M. A., Witkin, A. J., Shah, C., Flynn, H. W., Garg, S. J., & Wolfe, J. D. (2017). Pars plana vitrectomy for late vitreoretinal sequelae of infectious endophthalmitis: Surgical management and outcomes. Retina, 37(4), 651-656. https://doi.org/10.1097/IAE.0000000000001208