Purpose: To report a case of endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy.
Design: Observational case report.
Methods: An 87-year-old male who underwent sutureless 25-gauge vitrectomy developed unilateral endophthalmitis. Vitreous culture revealed Staphylococcus coagulase-negative bacteria. He was subsequently treated with intravitreal antibiotics and oral prednisone.
Results: The endophthalmitis resolved with a best corrected visual acuity of 6/200 with the presence of an epiretinal membrane.
Conclusions: Possible contributing factors to endophthalmitis following sutureless vitrectomy include decreased vitreous irrigation/lavage, lack of a watertight wound, and/or vitreous wicking, all of which may promote intraocular bacterial entrance. A sutureless vitrectomy system may increase the risk of vitrectomy-associated endophthalmitis.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699784 | PMC |
| http://dx.doi.org/10.2147/opth.s2489 | DOI Listing |
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