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Can Prompt Endoscopic Vitrectomy in Post-Trauma Endophthalmitis with Corneal Edema Avoid Unnecessary Keratoplasties?

Authors Khader MA, Pappuru RR, Dave VP

Received 30 April 2020

Accepted for publication 30 June 2020

Published 24 July 2020 Volume 2020:13 Pages 279—284

DOI https://doi.org/10.2147/IMCRJ.S258946

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 5

Editor who approved publication: Dr Scott Fraser


Supplementary video showing endoscopic vitrectomy in post-trauma endophthalmitis with corneal edema [ID 258946].

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Mohammad Abdul Khader,1,2 Rajeev Reddy Pappuru,1 Vivek Pravin Dave1

1Smt. Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, Hyderabad, India; 2Academy for Eye Care Education, LV Prasad Eye Institute, Hyderabad, India

Correspondence: Vivek Pravin Dave
Smt. Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, Hyderabad, India
Tel +91-7680859900
Email vivekoperates@yahoo.co.in

Objective: To describe a series of prompt endoscopic vitrectomy in eyes with post-trauma endophthalmitis and hazy cornea.
Methods: Retrospective consecutive interventional case series. Cases of endophthalmitis with hazy cornea which underwent prompt endoscopic vitrectomy were analyzed. The study period was from August 2018 to April 2019. The final anatomic and functional outcomes are reported here.
Results: Four eyes of four patients were included. Mean age at presentation was 24.50± 21.29 years (median 24 years). All cases were post-open globe injury. Microbiology showed smear positivity in 3/4 (75%) and culture positivity in 2/4 (50%). The antibiotic susceptibility was 100% for vancomycin and ceftazidime. Mean follow-up was 7.75± 1.7 months (median 7.5 months). Favorable anatomic outcome was seen in 100% of cases and favorable functional outcome in 75% cases.
Conclusion: Endoscopic vitrectomy allows for early intervention in endophthalmitis post open-globe injuries. This enables early resolution of infection and avoids a need for unnecessary corneal interventions.

Keywords: endoscopy, keratoplasty, corneal opacity, endoscopic vitrectomy

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