Pars plana vitrectomy combined with silicone oil tamponade on the management of acute endophthalmitis

Objective To investigate the clinical effect of pars plana vitrectomy(PPV)combined silicone oil tamponade for acute endophthalmitis on eyes without detachment of retina. Methods This study analyses a retrospective case series of 15 eyes(15 patients),who underwent PPV combined silicone oil tamponade for acute endophthalmitis without retinal detachment.The postoperative visual acuity、infective change and reoperations were observed. Results During a follow-up of 3 to 18 months,intraocular infection of 15 eyes(15 patients)were controlled.Except a patient occurring retinal detachmental after removel of silicone oil,no eye needed further surgery in all these cases.Postoperative visual acuity improved in 13 eyes and remained unchanged in 1 eyes.Eyeball atrophy occurred in 1 eye. Conclusions Pars plana vitrectomy combined with silicone oil tamponade might be beneficial in the treatment strategy of severe acute endophthalmitis.