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Visual outcomes poor after therapeutic pars plana vitrectomy in patients with endophthalmitis
SAN FRANCISCO — In cases of acute endophthalmitis identified in a retrospective study, the most common setting for occurrence was after cataract surgery and the most common infective organism was Streptococcus, according to a scientific poster presented at the American Society of Retina Specialists meeting.
The retrospective, multicenter study included 70 patients who underwent pars plana vitrectomy (PPV) within 14 days of diagnosis of acute infectious endophthalmitis.
“Although less than one-third of patients achieved 20/400 or better VA, this VA often improved significantly from presenting VA,” Jayanth Sridhar, MD, and colleagues wrote.
Only 4.3% of patients had visual acuity of 20/400 or better at presentation; however, visual acuity at follow-up was 20/400 or better in 27.1%.
Streptococcus species was identified as the causative agent in 19 patients from whom positive intraocular cultures were obtained. – by Matt Hasson
Editor's note: This article has been updated to correct numbers of patients and visual acuity results.
Reference:
Sridhar J, et al. Microbiologic spectrum and visual outcomes of acute onset endophthalmitis undergoing therapeutic pars plana vitrectomy. Presented at: American Society of Retina Specialists annual meeting; Aug. 9-14, 2016; San Francisco.
Disclosure: Sridhar reports no relevant financial disclosures.