Abstract
The incidence of postoperative endophthalmitis varies widely with the surgical procedure. The most widely reported series in endophthalmitis across the world includes post-cataract surgery endophthalmitis. Endophthalmitis following pars plana vitrectomy (PPV) is a relatively uncommon cause of endophthalmitis [1]. Over the last few decades, various studies have reported the incidences of post-PPV endophthalmitis; it varies from 0.03–0.14% for 20G PPV [2–11] (Table 15.1). The first reported case of endophthalmitis following sutureless PPV was in 2005 [12]. Ever since many small case series have reported endophthalmitis in small-gauge sutureless surgeries [10, 11, 13–19] (Table 15.2).
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References
Dave VP, Pathengay A, Schwartz AG, Flynn HW Jr. Endophthalmitis following pars plana vitrectomy: a literature review of incidence, causative organisms, and treatment outcomes. Clin Ophthalmol. 2014;8:2182–8.
Ho PC, Tolentino FI. Bacterial endophthalmitis after closed vitrectomy. Arch Ophthalmol. 1984;102:207–10.
Aaberg TM, Flynn HW Jr, Schiffman J, Newton J. Nosocomial acute-onset postoperative endophthalmitis survey. A 10-yr review of incidences and outcomes. Ophthalmology. 1998;105:1004–10.
Cohen SM, Flynn HW Jr, Murray TG, Smiddy WE. Endophthalmitis after pars plana vitrectomy. The post vitrectomy endophthalmitis study group. Ophthalmology. 1995;102:702–12.
Zhang S, Ding X, Hu J, Gao R. Clinical features of endophthalmitis after vitreoretinal surgery. Yan Ke Xue Bao. 2003;19:39–43. [Chinese]
Eifrig CW, Scott IU, Flynn HW Jr, et al. Endophthalmitis after pars plana vitrectomy: incidence, causative organisms, and visual acuity outcomes. Am J Ophthalmol. 2004;138:799–802.
Sakamoto T, Enaida H, Kubota T, et al. Incidence of acute endophthalmitis after triamcinolone-assisted pars plana vitrectomy. Am J Ophthalmol. 2004;138:137–8.
Joondeph BC, Blanc JP, Polkinghorne PJ. Endophthalmitis after pars plana vitrectomy: a New Zealand experience. Retina. 2005;25:587–9.
Mollan SP, Mollan AJ, Konstantinos C, et al. Incidence of endophthalmitis following vitreoretinal surgery. Int Ophthalmol. 2009;29:203–5.
Chen JK, Khurana RN, Nguyen QD, Do DV. The incidence of endophthalmitis following transconjunctival sutureless 25 vs 20 gauge vitrectomy. Eye. 2009;23:780–4.
Scott IU, Flynn HW Jr, Acar N, et al. Incidence of endophthalmitis after 20-gauge vs 23-gauge vs 25-gauge pars plana vitrectomy. Graefes Arch Clin Exp Ophthalmol. 2011;249:377–80.
Taylor SR, Aylward GW. Endophthalmitis following 25-gauge vitrectomy. Eye. 2005;19:1228–9.
Kunimoto DY, Kaiser RS, Wills Retina Service. Incidence of endophthalmitis after 20 and 25 gauge vitrectomy. Ophthalmology. 2007;114:2133–7.
Shaikh S, Ho S, Richmond PP, et al. Untoward outcomes in 25-gauge versus 20-gauge vitreoretinal surgery. Retina. 2007;27:1048–53.
Scott IU, Flynn HW Jr, Dev S, et al. Endophthalmitis after 25 gauge and 20 gauge pars plana vitrectomy: incidence and outcomes. Retina. 2008;28:138–42.
Shimada H, Nakashizuka H, Hattori T, et al. Incidence of endophthalmitis after 20 and 25 gauge vitrectomy: causes and prevention. Ophthalmology. 2008;115:2215–20.
Hu AYH, Bourges JL, Shah SP, et al. Endophthalmitis after pars plana vitrectomy. Ophthalmology. 2009;116:1360–5.
Mutoh T, Kadoya K, Chikuda M. Four cases of endophthalmitis after 25-gauge pars plana vitrectomy. Clin Ophthalmol. 2012;6:1393–7.
Gupta OP, Maguire JI, Eagle RC Jr, et al. The competency of pars plana vitrectomy incisions: a comparative histologic and spectrophotometric analysis. Am J Ophthalmol. 2009;147:243–50.
Singh RP, Bando H, OF B, et al. Evaluation of wound closure using different incision techniques with 23-gauge and 25-gauge microincision vitrectomy systems. Retina. 2008;28:242–8.
Thompson JT. Advantages and limitations of small gauge vitrectomy. Surv Ophthalmol. 2011;56:162–72.
Meredith TA. Antimicrobial pharmacokinetics in endophthalmitis treatment: studies of ceftazidime. Trans Am Ophthalmol. 1993;91:653–99.
Kaiser RS, Prenner J, Scott IU, et al. The Microsurgical Safety Task Force: evolving guidelines for minimizing the risk of endophthalmitis associated with microincisional vitrectomy surgery. Retina. 2010;30:692–9.
Nagpal M, Wartikar S, Nagpal K. Comparisons of clinical outcomes and wound dynamics of sclerotomy ports of 20, 23, and 25 gauge vitrectomy. Retina. 2009;29:225–31.
Dave VP, Pathengay A, Basu S, et al. Endophthalmitis after pars plana vitrectomy: clinical features, risk factors, and management outcome. Asia Pac J Ophthalmol (Phila). 2016;5:192–5.
Tominaga A, Oshima Y, Wakabayashi T, et al. Bacterial contamination of the vitreous cavity associated with transconjunctival 25-gauge microincision vitrectomy surgery. Ophthalmology. 2010;117:811–7.
Fujii GY, Juan E Jr, Humayun MS, et al. A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology. 2002;109:1807–12.
Fujii GY, De Juan E, Humayun MS, et al. Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery. Ophthalmology. 2002;109:1814–20.
Abi-Ayad N, Gambrelle J, Duquesne N, et al. Endophthalmitis after plana vitrectomy: incidence, microbiology and visual outcomes. J Fr Ophthalmol. 2007;30:397–402. [French]
Wu L, Berrocal MH, Arévalo JF, et al. Endophthalmitis after pars plana vitrectomy: results of the Pan American Collaborative Retina Study Group. Retina. 2011;31:673–8.
Oshima Y, Kadonosono K, Yamaji H, et al. Multicenter survey with a systematic overview of acute-onset endophthalmitis after transconjunctival microincision vitrectomy surgery. Japan Microincision Vitrectomy Surgery Study Group. Am J Ophthalmol. 2010;150:716–25.e1.
Wani VB, Al Sabti K, Kumar N, et al. Endophthalmitis after vitrectomy and vitrectomy combined with phacoemulsification: incidence and visual outcomes. Eur J Ophthalmol. 2009;19:1044–9.
Taban M, Ufret-Vincenty RL, Sears JE. Endophthalmitis after 25-gauge transconjunctival sutureless vitrectomy. Retina. 2006;26:830–1.
Endophthalmitis Vitrectomy Study Group. Results of the Endophthalmitis Vitrectomy Study. A randomized trial of immediate vitrectomy and intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Arch Ophthalmol. 1995;113:1479–96.
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Dave, V.P. (2018). Post-Vitrectomy Endophthalmitis. In: Das, T. (eds) Endophthalmitis . Springer, Singapore. https://doi.org/10.1007/978-981-10-5260-6_15
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DOI: https://doi.org/10.1007/978-981-10-5260-6_15
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