Incidence of endophthalmitis in a large series of 23-gauge and 20-gauge transconjunctival pars plana vitrectomy

  • Barbara Parolini
  • Federica Romanelli
  • Guido Prigione
  • Grazia Pertile
Retinal Disorders
First Online:
Received:
Revised:
Accepted:

Abstract

Background

To study the incidence of endophthalmitis after 23-gauge pars plana vitrectomy and to compare it with the endophthalmitis rate after 20-gauge pars plana vitrectomy performed in the same ophthalmology department.

Methods

The charts of 4,021 consecutive 20-gauge or 23-gauge pars plana vitrectomies performed at a single institution, between August 1 2003 and April 1 2008, were reviewed to search for the occurrence of postoperative endophthalmitis. This is a retrospective, interventional, comparative cohort study.

Results

Endophthalmitis developed in one of 3,078 eyes after 20-gauge vitrectomy (0.03%) and in none of 943 eyes after 23-gauge vitrectomy.

Conclusions

We did not find an increased risk of endophthalmitis after 23-gauge sutureless vitrectomy.

Keywords

Sutureless vitrectomy Sclerotomy sites Endophthalmitis 
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References

  1. 1.
    Kattan HM, Flynn HW Jr, Pflugfelder SC, Robertson C, Forster RK (1991) Nosocomial endophthalmitis survey. Current incidence of infection after intraocular surgery. Ophthalmology 98:227–238PubMedGoogle Scholar
  2. 2.
    May DR, Peyman GA (1976) Endophthalmitis after vitrectomy. Am J Ophthalmol 81:520–521PubMedGoogle Scholar
  3. 3.
    Chen JC (1996) Sutureless pars plana vitrectomy through self-sealing sclerotomies. Arch Ophthalmol 114:1273–1275PubMedGoogle Scholar
  4. 4.
    Fujii GY, De Juan E Jr, Humayun MS et al (2002) A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology 109:1807–1812. doi: 10.1016/S0161-6420(02)01179-X, discussion 1813PubMedCrossRefGoogle Scholar
  5. 5.
    Chen E (2007) 25-Gauge transconjunctival sutureless vitrectomy. Curr Opin Ophthalmol 18:188–193. doi: 10.1097/ICU.0b013e328133889a PubMedCrossRefGoogle Scholar
  6. 6.
    Lakhanpal RR, Humayun MS, de Juan E Jr et al (2005) Outcomes of 140 consecutive cases of 25-gauge transconjunctival surgery for posterior segment disease. Ophthalmology 112:817–824. doi: 10.1016/j.ophtha.2004.11.053 PubMedCrossRefGoogle Scholar
  7. 7.
    Kellner L, Wimpissinger B, Stolba U, Brannath W, Binder S (2007) 25-gauge vs 20-gauge system for pars plana vitrectomy: a prospective randomised clinical trial. Br J Ophthalmol 91:945–948. doi: 10.1136/bjo.2006.106799 PubMedCrossRefGoogle Scholar
  8. 8.
    Rizzo S, Genovesi-Ebert F, Murri S et al (2006) 25-gauge, sutureless vitrectomy and standard 20-gauge pars plana vitrectomy in idiopathic epiretinal membrane surgery: a comparative pilot study. Graefes Arch Clin Exp Ophthalmol 244:472–479. doi: 10.1007/s00417-005-0173-6 PubMedCrossRefGoogle Scholar
  9. 9.
    Cho YJ, Lee JM, Kim SS (2004) Vitreoretinal surgery using transconjunctival sutureless vitrectomy. Yonsei Med J 45:615–620PubMedGoogle Scholar
  10. 10.
    Ibarra MS, Hermel M, Prenner JL, Hassan TS (2005) Longer-term outcomes of transconjunctival sutureless 25-gauge vitrectomy. Am J Ophthalmol 139:831–836. doi: 10.1016/j.ajo.2004.12.002 PubMedCrossRefGoogle Scholar
  11. 11.
    Fujii GY, De Juan E Jr, Humayun MS et al (2002) Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery. Ophthalmology 109:1814–1820. doi: 10.1016/S0161-6420(02)01119-3 PubMedCrossRefGoogle Scholar
  12. 12.
    Kunimoto DY, Kaiser RS (2007) Incidence of endophthalmitis after 20- and 25-gauge vitrectomy. Ophthalmology 114:2133–2137. doi: 10.1016/j.ophtha.2007.08.009 PubMedCrossRefGoogle Scholar
  13. 13.
    Chen JK, Khurana RN, Nguyen QD, Do DV (2008) The incidence of endophthalmitis following transconjunctival sutureless 25- vs 20-gauge vitrectomy. Eye Jun 6 [Epub ahead of print]Google Scholar
  14. 14.
    Scott IU, Flynn HW Jr, Dev S et al (2008) Endophthalmitis after 25-gauge and 20-gauge pars plana vitrectomy: incidence and outcomes. Retina 28:138–142PubMedCrossRefGoogle Scholar
  15. 15.
    Eckardt C (2005) Transconjunctival sutureless 23-gauge vitrectomy. Retina 25:208–211. doi: 10.1097/00006982-200502000-00015 PubMedCrossRefGoogle Scholar
  16. 16.
    Cohen SM, Flynn HW Jr, Murray TG, Smiddy WE (1995) Endophthalmitis after pars plana vitrectomy. The Postvitrectomy Endophthalmitis Study Group. Ophthalmology 102:705–712PubMedGoogle Scholar
  17. 17.
    Eifrig CW, Scott IU, Flynn HW Jr, Smiddy WE, Newton J (2004) Endophthalmitis after pars plana vitrectomy: Incidence, causative organisms, and visual acuity outcomes. Am J Ophthalmol 138:799–802. doi: 10.1016/j.ajo.2004.06.035 PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Barbara Parolini
    • 1
  • Federica Romanelli
    • 1
  • Guido Prigione
    • 1
  • Grazia Pertile
    • 1
  1. 1.Ospedale Sacro CuoreNegrar-VeronaItaly

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