The Role of Silicone Oil in Management of Postoperative Endophthalmitis | ||||
| Sohag Medical Journal | ||||
| Article 70, Volume 21, Issue 3, October 2017, Page 575-581 PDF (56.65 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2017.55055 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mahmoud M. Farouk; Amr Mounir; Mohammed Elagouz | ||||
| Abstract | ||||
| Purpose: To evaluate the outcomes of vitrectomy with and without silicone oil injection for the treatment of infectious endophthalmitis after cataract surgery when the retina is severely affected. Methods: This study is aretrospective review of an interventional case series and included 26 eyes of 26 patients who underwent 20-gauge vitrectomy for management of infectious endophthalmitis after cataract surgery. Patients were divided into two groups; group 1 in which vitrectomy was done without silicon oil and group 2 in which vitrectomy was done with silicon oil. All cases were followed for 6 months. Results: In group 1 the mean logMAR visual acuity significantly improved from 2.71 ± 0.05 to 2.09 ± 0.82 (61.5 % improved, 9.5 % didn't change and 28.5 % worsened). In group 2 the mean logMAR visual acuity significantly improved from 2.70 ± 0.07 to 2.04 ± 0.75 (76.9 % improved, 15.3 % didn't change and 7.6 % worsened). Four cases (19 %) suffered from persistence of infection after vitrectomy and 3 cases (14.2 %) had postoperative retinal detachmentin group 1. These complications were not reported in any case of group 2. Conclusion: Silicone oil may be an effective adjunctive to vitrectomy in management of postoperative endopthalmitis with sever retinal affection | ||||
| Keywords | ||||
| Endophthalmitis; Silicone Oil | ||||
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| References | ||||
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1. Friling E, Lundstrom M, Stenevi U, Montan P. Six-year incidence of endophthalmitis after cataract surgery: Swedish national study. J Cataract Refract Surg. 2013;39:15-21.
2. Affeldt JC, Flynn HW, Forster RK, et al. Microbial endophthalmitis resulting from ocular trauma. Ophthalmology. 1987;94(4):407-13.
3. Brinton GS, Topping TM, Hyndiuk RA, Aaberg TM, Reeser FH, Abrams GW. Posttraumatic endophthalmitis. Arch Ophthalmol. 1984;102(4):547-550.
4. Al-Mezaine HS, Kangave D, Al-Assiri A, Al-Rajhi AA. Acute-onset nosocomial endophthalmitis after cataract surgery: incidence, clinical features, causative organisms, and visual outcomes. J Cataract Refract Surg. 2009;35(4):643-649.
5. Results of the endophthalmitis vitrectomy study: a randomized trial of immediate vitrectomy and of intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Arch Ophthalmol. 1995;113: 1479-1496.
6. Barry P, Behrens-Baumann W, Pleyer U, Seal D. ESCRS Guidelines on Prevention, Investigation and Management of Post-Operative Endophthalmitis. version 2, August 2007. Dublin, Ireland: The European Society for Cataract & Refractive Surgeons.
7. Durand ML. Endophthalmitis. Clinical Microbiology and Infection. 2013;19(3):227-234.
8. Nelsen PT, Marcus DA, Bovino JA. Retinal detachment following endophthalmitis. Ophthalmology. 1985;92(8):1112-1117.
9. Bali E, Huyghe PH, Caspers L, Libert J. Vitrectomy and silicone oil in the treatment of acute endophthalmitis, Preliminary results. Bull SocBelgeOphtalmol. 2003;288:9-14.
10. Ozdamar A, Aras C, Ozturk R, Akin E, Karacorlu M, Ercikan C. In vitro antimicrobial activity of silicone oil against endophthalmitis causing agents. Retina. 1999;19(2):122-126.
11. Zhang J, Han F, Zhai X. Clinical analysis of 23-gauge vitrectomy for the treatment of acute endophthalmitis after cataract surgery. Eur J Ophthalmol. 2015;25:503-506.
12. GroverS, FishmanGA, AndersonRJ. Visual acuity impairment in patients with retinitis pigmentosa at age 45 years or older. Ophthalmology. 1999;106:1780-1785.
13. Siqueira RC, Gil AD, Canamary F, Minari M, Jorge R. Pars plana vitrectomy and silicone oil tamponade for acute endophthalmitis treatment. Arq Bras Oftalmol. 2009;72(1):28-32.
14. Do T, Hon DN, Aung T, Hien ND, Cowan CL. Bacterial endogenous endophthalmitis in Vietnam: a randomized controlled trial comparing vitrectomy with silicone oil versus vitrectomy alone.ClinOphthalmol. 2014;8:1633-1640.
15. Mao LK, Flynn HW Jr, Miller D, Pflugfelder SC. Endophthalmitis caused by streptococcal species. Arch Ophthalmol. 1992;110(6):798-801.
Zimmer-Galler IE, Santos A, Haller JA, Campochiaro PA. Management of endophthalmitis in a silicone filled eye. Retina. 1997;17(6):507-509. | ||||
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