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

doi:10.1097/IAE.0000000000001208

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

Ophthalmology

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	651-656
Number of pages	6
Journal	Retina
Volume	37
Issue number	4
DOIs	https://doi.org/10.1097/IAE.0000000000001208
State	Published - 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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10.1097/IAE.0000000000001208

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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

Pars plana vitrectomy for late vitreoretinal sequelae of infectious endophthalmitis : Surgical management and outcomes. / Thomas, Benjamin J.; Mehta, Neesurg; Yonekawa, Yoshihiro; Sridhar, Jayanth; Kuriyan, Ajay E.; Relhan, Nidhi; Liang, Michelle C.; Woodward, Maria A.; Witkin, Andre J.; Shah, Chirag; Flynn, Harry W.; Garg, Sunir J.; Wolfe, Jeremy D.

In: Retina, Vol. 37, No. 4, 2017, p. 651-656.

Research output: Contribution to journal › Article › peer-review

Thomas, Benjamin J. ; Mehta, Neesurg ; Yonekawa, Yoshihiro ; Sridhar, Jayanth ; Kuriyan, Ajay E. ; Relhan, Nidhi ; Liang, Michelle C. ; Woodward, Maria A. ; Witkin, Andre J. ; Shah, Chirag ; Flynn, Harry W. ; Garg, Sunir J. ; Wolfe, Jeremy D. / Pars plana vitrectomy for late vitreoretinal sequelae of infectious endophthalmitis : Surgical management and outcomes. In: Retina. 2017 ; Vol. 37, No. 4. pp. 651-656.

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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.",

keywords = "Endophthalmitis, Epiretinal membrane, Pars plana vitrectomy, Retinal detachment, Surgery, Surgical outcomes, Uveitis, Vitreous opacities",

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

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AU - Thomas, Benjamin J.

AU - Mehta, Neesurg

AU - Yonekawa, Yoshihiro

AU - Sridhar, Jayanth

AU - Kuriyan, Ajay E.

AU - Relhan, Nidhi

AU - Liang, Michelle C.

AU - Woodward, Maria A.

AU - Witkin, Andre J.

AU - Shah, Chirag

AU - Flynn, Harry W.

AU - Garg, Sunir J.

AU - Wolfe, Jeremy D.

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

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KW - Epiretinal membrane

KW - Pars plana vitrectomy

KW - Retinal detachment

KW - Surgery

KW - Surgical outcomes

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KW - Vitreous opacities

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