PARS PLANA VITRECTOMY FOR LATE VITREORETINAL SEQUELAE OF INFECTIOUS ENDOPHTHALMITIS: Surgical Management and Outcomes

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

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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.

Original languageEnglish (US)
JournalRetina
DOIs
StateAccepted/In press - Jul 26 2016

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ASJC Scopus subject areas

  • Medicine(all)
  • Ophthalmology

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Thomas, B. J., Mehta, N., Yonekawa, Y., Sridhar, J., Kuriyan, A., Rehlan, N., Liang, M. C., Woodward, M. A., Witkin, A. J., Shah, C., Flynn, H. W., Garg, S. J., & Wolfe, J. D. (Accepted/In press). PARS PLANA VITRECTOMY FOR LATE VITREORETINAL SEQUELAE OF INFECTIOUS ENDOPHTHALMITIS: Surgical Management and Outcomes. Retina. https://doi.org/10.1097/IAE.0000000000001208