scholarly journals Vitrectomy in Endophthalmitis

2021 ◽  
pp. 27-32
Keyword(s):  
Early Diagnosis ◽  
Great Improvement ◽  
Treatment Modality ◽  
Pars Plana Vitrectomy ◽  
Surgical Approaches ◽  
Diagnosis And Therapy ◽  
Accurate Treatment ◽  
Pars Plana

Developing due to infectious and noninfectious causes, endophthalmitis is a serious condition requiring urgent intervention which can lead to eye loss. In recent years, medical and surgical approaches had great improvement in the treatment of endophthalmitis. Early diagnosis and therapy are very important in endophthalmitis. By prompt and accurate treatment, good outcomes are established. In order to get successful results, the combination of intravitreal antibiotic and pars plana vitrectomy approach is the best treatment modality. Early pars plana vitrectomy eliminates infective agents, suitable media, and toxins while amplifying the action of intravitreal antibiotics.

Repair of Primary Noncomplex Rhegmatagenous Retinal Detachment

2013 ◽  
Vol 06 (02) ◽  
pp. 135 ◽  
Author(s):  
Eric W Schneider ◽  
Mark W Johnson ◽  
◽  
Keyword(s):  
Retinal Detachment ◽  
Pars Plana Vitrectomy ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Treatment Modalities ◽  
Current Evidence ◽  
Surgical Approaches ◽  
Short Discussion ◽  
Pneumatic Retinopexy ◽  
Pars Plana

With the development of pars plana vitrectomy in the 1970s and pneumatic retinopexy in the 1980s, the primacy of scleral buckling for repair of rhegmatogenous retinal detachment (RRD) came under challenge. While a degree of consensus exists for certain forms of complex RRD, there remains little agreement concerning the optimal treatment of primary noncomplex RRD. This debate is further muddied by application of adjuvant procedures to supplement the primary surgical approach. This article aims to present the current evidence regarding repair of primary noncomplex RRD. A brief summary of primary surgical approaches—pneumatic retinopexy, scleral buckling, and pars plana vitrectomy—will be presented along with a short discussion on potential adjuvant procedures. The remainder of the article focuses on reported outcomes for the different treatment modalities for primary noncomplex RRD.

scholarly journals Aspergillus fumigatusEndophthalmitis with Necrotizing Scleritis following Pars Plana Vitrectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Anna M. Gruener ◽  
Felicity Allen ◽  
Miles R. Stanford ◽  
Elizabeth M. Graham
Keyword(s):  
Retinal Detachment ◽  
Early Diagnosis ◽  
Aspergillus Fumigatus ◽  
Standard Therapy ◽  
Pars Plana Vitrectomy ◽  
The Other ◽  
Antifungal Treatment ◽  
Necrotizing Scleritis ◽  
Pars Plana ◽  
Surgically Induced

We present a case ofAspergillus fumigatusendophthalmitis complicated by necrotizing scleritis in a 68-year-old man with diet-controlled diabetes, after retinal detachment repair. He was initially treated with systemic steroids for surgically induced necrotizing scleritis following routine pars plana vitrectomy. An additional diagnosis of endophthalmitis was made when the patient developed a hypopyon. Repeat vitreous culture isolatedAspergillus fumigatus. Symptoms improved following antifungal treatment leaving the patient with scleromalacia and an advanced postoperative cataract. Fungal scleritis and endophthalmitis are rare complications of intraocular surgery with sight-threatening consequences, and, as this case demonstrates, may even occur concomitantly. The overlapping features of both conditions can make differentiating one from the other difficult. A fungal aetiology should be considered in cases of postoperative scleritis and endophthalmitis that are protracted and refractory to standard therapy. Even in cases of early diagnosis and treatment, visual outcomes inAspergillusendophthalmitis and scleritis are variable and often disappointing, not infrequently necessitating enucleation of a painful blind eye.

scholarly journals A comparative study of 23-gauge and 27-gauge vitrectomy for puckers or floaters, including evaluation of the effect of combined phaco-vitrectomy surgery on postoperative outcome.

2021 ◽  
Author(s):  
Peter Stalmans
Keyword(s):  
Comparative Study ◽  
Pars Plana Vitrectomy ◽  
Wound Closure ◽  
Postoperative Outcome ◽  
Postoperative Recovery ◽  
Surgical Approaches ◽  
Single Center ◽  
Pars Plana ◽  
23 Gauge ◽  
Vitrectomy Surgery

Abstract Introduction: A single center, prospective randomized comparison of postoperative recovery between 23-gauge (23G) and 27-gauge (27G) surgical approaches in vitrectomy was performed. Methods: A single center, prospective randomized comparison of postoperative recovery between 23-gauge (23G) and 27-gauge (27G) surgical approaches to evaluate efficiencies and postoperative outcomes of the two surgical gauges. 80 patients who were scheduled to undergo pars plana vitrectomy (PPV) for floaters or macular surgery were treated with either 27-gauge or 23-gauge techniques and assessed for efficiency of the procedures as well as a variety of postop indicators of pain and inflammation. Results: 27-gauge vitrectomy took 90 seconds more time compared to 23-gauge surgery. Wound closure was significantly easier in 27-gauge than. 23-gauge. Less postoperative eye reddishness was seen in 27-gauge cf. 23-gauge. A trend towards less inflammation was seen in 27-gauge. Conclusion: Overall, the trial showed that 27-gauge has the better postoperative outcome compared to 23-gauge PPV. Combining vitrectomy with phaco surgery did not influence the study outcome parameters.

Long-term results of autologous plasma as adjuvant to pars plana vitrectomy in the treatment of high myopic full-thickness macular holes

2020 ◽  
pp. 112067212096034
Author(s):  
Marta S Figueroa ◽  
Arnau Mora Cantallops ◽  
Gianni Virgili ◽  
Andrea Govetto
Keyword(s):  
Pars Plana Vitrectomy ◽  
Retrospective Chart Review ◽  
Internal Limiting Membrane ◽  
Long Term Results ◽  
Surgical Approaches ◽  
Full Thickness ◽  
Autologous Plasma ◽  
Pars Plana ◽  
Group 2 ◽  
Group 1

Background: To analyse the feasibility and efficacy of a novel autologous plasma rich in growth factor (PRGF) preparation as adjuvant to pars plana vitrectomy and internal limiting membrane peel in high myopic full-thickness macular hole (FTMH). Methods: Single-centre, single-surgeon retrospective chart review of consecutive patients with high myopic FTMH who underwent surgery with a minimum follow-up of 12 months. Patients were divided in group 1 (naïve) and group 2 (persistent). Quantitative and qualitative variables were analysed, compared among groups and correlated with best corrected visual acuity (BCVA). Results: Postoperatively, FTMH resolved in 28/31 eyes in group 1 (90%) and in 10/11 eyes in group 2 (91%), without significant differences ( p = 0.954). None of the preoperative anatomical variables analysed showed significant association with preoperative BCVA. Intraoperatively, no significant complications were registered. Postoperatively, BCVA improved significantly in the studied population ( p < 0.001). Preoperative factors associated with better postoperative BCVA were the presence of intraretinal cystoid spaces ( p = 0.028) and elevated FTMH borders ( p = 0.005). Preoperative dome-shaped macula was associated with significantly worse postoperative BCVA ( p = 0.049). Conclusion: The use of PRGF as adjuvant to vitrectomy showed to be reproducible, straightforward and efficient, with primary anatomical success rate comparable to other surgical approaches and lower risk of complications.

Transscleral Extraction of an Intraocular Foreign Body From the Posterior Segment of the Eye Without Pars Plana Vitrectomy

2020 ◽  
Vol 76 (1) ◽  
pp. 14-23
Author(s):  
Štěpán Rusňák ◽  
Lenka Hecová
Keyword(s):  
Foreign Body ◽  
Pars Plana Vitrectomy ◽  
Young Patients ◽  
Vitreous Body ◽  
Visual Control ◽  
Intraocular Foreign Body ◽  
Survey Study ◽  
Surgical Method ◽  
Eye Trauma ◽  
Pars Plana

Purpose: Penetrating eye trauma with an intraocular foreign body is very frequent, especially in men in their productive age. Pars plana vitrectomy would be the standard surgical method at our department. However, in indicated cases (metallic intraocular bodies in the posterior eye segment in young patients with well transparent ocular media without detached ZSM and without any evident vitreoretinal traction) transscleral extraction of the intraocular foreign body is performed using the exo magnet, eventually endo magnet with a minimal PPV without PVD induction under the visual control of endo-illumination. Materials and Methods: Between June 2003 and June 2018, 66 eyes of 66 patients diagnosed with a penetrating eye trauma caused by an intraocular foreign body located in the posterior eye segment were treated. In 18 eyes (27,3 %) with a metallic foreign body in vitreous (body) or in retina, no PPV or a minimal PPV without PVD was used as a surgical method. In the remaining 48 eyes (72,7 %), a standard 20G, respectively 23G PPV method were used together with PVD induction and the foreign body extraction via endo or exo magnet. Conclusions: As demonstrated by our survey/study, in the cases of a thoroughly considered indication an experimented vitreoretinal surgeon can perform a safe NCT transscleral extraction from the posterior eye segment via exo magnet, eventually endo magnet under the visual control of a contact display system with a minimal PPV. Thereby, the surgeon can enhance the patient´s chance to preserve their own lens and its accommodative abilities as well as reduce the risk of further surgical interventions of the afflicted eye.

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