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Early Vitrectomy: An Effective Treatment for Acute Postcataract Surgery Endophthalmitis
BACKGROUND: Endophthalmitis is a rare but a high morbid complication after cataract surgery, and a gold standard treatment is not recommended yet. In this study, we aim to evaluate the effect of early vitrectomy on the visual acuity of patients with postcataract endophthalmitis. MATERIALS AND METHOD...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10186043/ https://www.ncbi.nlm.nih.gov/pubmed/37200764 http://dx.doi.org/10.4103/abr.abr_44_21 |
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author | Najafabadi, Farhad Fazel Salehi, Ali Vaezi, Mohammad Hadi Ghanbari, Heshmatollah Najafabadi, Mohamadreza Fazel Koosha, Nima Jafarzadeh, Zahra |
author_facet | Najafabadi, Farhad Fazel Salehi, Ali Vaezi, Mohammad Hadi Ghanbari, Heshmatollah Najafabadi, Mohamadreza Fazel Koosha, Nima Jafarzadeh, Zahra |
author_sort | Najafabadi, Farhad Fazel |
collection | PubMed |
description | BACKGROUND: Endophthalmitis is a rare but a high morbid complication after cataract surgery, and a gold standard treatment is not recommended yet. In this study, we aim to evaluate the effect of early vitrectomy on the visual acuity of patients with postcataract endophthalmitis. MATERIALS AND METHODS: This study was a single-arm clinical trial on 27 patients with postcataract surgery endophthalmitis. Early vitrectomy was the intervention. Visual acuity as the primary outcome was evaluated and compared at baseline, at discharge, and 1 and 3 months after the intervention. RESULTS: From 27 patients who included in our study, six patients gain favorable visual acuity of 5/10 and above (success rate = 22%), and four of them have no improvement in their visual acuity. Retinal detachment was reported as a complication in just one case. Negative culture was a predictor for success in terms of visual acuity after the surgery. All patients who gain favorable results, presented in the first 15 days after the cataract surgery. CONCLUSION: The result of our study showed that, considering complete, early vitrectomy for the treatment of postcataract surgery endophthalmitis, especially for those who presented in the first 15 days of cataract surgery and for those who have negative culture is promising. |
format | Online Article Text |
id | pubmed-10186043 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-101860432023-05-17 Early Vitrectomy: An Effective Treatment for Acute Postcataract Surgery Endophthalmitis Najafabadi, Farhad Fazel Salehi, Ali Vaezi, Mohammad Hadi Ghanbari, Heshmatollah Najafabadi, Mohamadreza Fazel Koosha, Nima Jafarzadeh, Zahra Adv Biomed Res Original Article BACKGROUND: Endophthalmitis is a rare but a high morbid complication after cataract surgery, and a gold standard treatment is not recommended yet. In this study, we aim to evaluate the effect of early vitrectomy on the visual acuity of patients with postcataract endophthalmitis. MATERIALS AND METHODS: This study was a single-arm clinical trial on 27 patients with postcataract surgery endophthalmitis. Early vitrectomy was the intervention. Visual acuity as the primary outcome was evaluated and compared at baseline, at discharge, and 1 and 3 months after the intervention. RESULTS: From 27 patients who included in our study, six patients gain favorable visual acuity of 5/10 and above (success rate = 22%), and four of them have no improvement in their visual acuity. Retinal detachment was reported as a complication in just one case. Negative culture was a predictor for success in terms of visual acuity after the surgery. All patients who gain favorable results, presented in the first 15 days after the cataract surgery. CONCLUSION: The result of our study showed that, considering complete, early vitrectomy for the treatment of postcataract surgery endophthalmitis, especially for those who presented in the first 15 days of cataract surgery and for those who have negative culture is promising. Wolters Kluwer - Medknow 2023-03-28 /pmc/articles/PMC10186043/ /pubmed/37200764 http://dx.doi.org/10.4103/abr.abr_44_21 Text en Copyright: © 2023 Advanced Biomedical Research https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Najafabadi, Farhad Fazel Salehi, Ali Vaezi, Mohammad Hadi Ghanbari, Heshmatollah Najafabadi, Mohamadreza Fazel Koosha, Nima Jafarzadeh, Zahra Early Vitrectomy: An Effective Treatment for Acute Postcataract Surgery Endophthalmitis |
title | Early Vitrectomy: An Effective Treatment for Acute Postcataract Surgery Endophthalmitis |
title_full | Early Vitrectomy: An Effective Treatment for Acute Postcataract Surgery Endophthalmitis |
title_fullStr | Early Vitrectomy: An Effective Treatment for Acute Postcataract Surgery Endophthalmitis |
title_full_unstemmed | Early Vitrectomy: An Effective Treatment for Acute Postcataract Surgery Endophthalmitis |
title_short | Early Vitrectomy: An Effective Treatment for Acute Postcataract Surgery Endophthalmitis |
title_sort | early vitrectomy: an effective treatment for acute postcataract surgery endophthalmitis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10186043/ https://www.ncbi.nlm.nih.gov/pubmed/37200764 http://dx.doi.org/10.4103/abr.abr_44_21 |
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