2016•RetinaOpen access
PARS PLANA VITRECTOMY FOR LATE VITREORETINAL SEQUELAE OF INFECTIOUS ENDOPHTHALMITIS
Benjamin J. Thomas, Neesurg S. Mehta, Yoshihiro Yonekawa, Jayanth S. Sridhar, Ajay E. Kuriyan, Nidhi Relhan, Michelle C. Liang, Maria A. Woodward, André J. Witkin, Chirag P. Shah, Harry W. Flynn, Sunir J. Garg, Jeremy D. Wolfe
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Abstract
In Brief Purpose: To report the visual acuity outcomes after pars plana vitrectomy for delayed vitreoretinal sequelae of infectious endophthalmitis. All eyes were initially treated with intravitreal antibiotics (Abx). Methods: Multicenter, retrospective, consecutive case series. Results: Forty-two eyes met the study criteria. The mean follow-up was 48 weeks (SD ± 61.8). Mean interval from Abx to pars plana vitrectomy was 13 weeks (SD ± 14.3, range 2–70). Indications for pars plana vitrectomy included vitreous opacities (VO) (n = 22), epiretinal membrane (n = 9), and retinal detachment (n = 11). LogMAR visual acuity improved from 1.87 (Snellen equivalent: 20/1,482) preoperatively to 1.35 (Snellen equivalent: 20/447) at final evaluation (P < 0.001). LogMAR visual acuity improved significantly for patients with vitreous opacities (P < 0.01) and retinal detachment (P = 0.02) but not for patients with epiretinal membranes (P = 0.08). Conclusion: Patients with infectious endophthalmitis can gain vision if they have a pars plana vitrectomy for delayed sequelae such as vitreous opacities or for retinal detachment. Infectious endophthalmitis can precipitate delayed vitreoretinal complications requiring surgery. Pars plana vitrectomy can improve visual acuity outcomes, especially in eyes with vitreous opacities and retinal detachment.