Comparative Study of Microbiological Profile and Management Outcomes of Acute Endophthalmitis after Microincision Vitrectomy Surgery versus Intravitreal Injections.
Naresh Babu KannanSagnik SenChitaranjan MishraPrajna LalithaGunasekaran RameshkumarRenu P RajanKarthik Kumar ArumugamKim RamasamyPublished in: Ocular immunology and inflammation (2020)
Purpose: The aim of this study was to evaluate and compare incidence and outcomes of management of acute endophthalmitis after microincision vitrectomy surgery (MIVS) and intravitreal injections (IVIs).Methods: Medical records were retrospectively reviewed from January 2012 to December 2017, and the incidence, clinical and microbiological profiles of acute endophthalmitis were documented.Results: Of 26,332 MIVS and 24,143 IVI performed, incidence of acute endophthalmitis in MIVS group was 0.027% (1 in 3761 cases) against 0.054% (1 in 1857 cases) in IVI. Gram-positive organisms were causative in post IVI group as against gram-negative organisms in MIVS group.Conclusion: Incidence of endophthalmitis after IVI is almost twice that after MIVS. A trend toward poorer outcomes in MIVS eyes was observed. Both MIVS and IVI being pars plana procedures warrant similar kind of aseptic precautions.
Keyphrases
- gram negative
- liver failure
- respiratory failure
- multidrug resistant
- risk factors
- diabetic retinopathy
- cataract surgery
- minimally invasive
- aortic dissection
- healthcare
- vascular endothelial growth factor
- coronary artery bypass
- coronary artery disease
- type diabetes
- optical coherence tomography
- metabolic syndrome
- endothelial cells
- acute coronary syndrome
- surgical site infection
- platelet rich plasma
- acute respiratory distress syndrome