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25-Gauge Vitrectomy in Infectious Endophthalmitis

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Vitreo-retinal Surgery

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References

  1. Endophthalmitis Vitrectomy Study Group (1995) Results of the Endophthalmitis Vitrectomy Study. A randomized trial of immediate vitrectomy and intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Arch Ophthalmol 113:1479–1496

    Google Scholar 

  2. Endophthalmitis Vitrectomy Study Group (1996) Microbiologic factors and visual outcome in the Endophthalmitis Vitrectomy Study. Am J Ophthalmol 122:830–846

    Google Scholar 

  3. Deramo VA, Ting TD (2001) Treatment of Propionibacterium acnes endophthalmitis. Curr Opin Ophthalmol 12:225–229

    Article  PubMed  CAS  Google Scholar 

  4. Speaker MG, Milch FA, Shah MK (1991) Role of external bacterial flora in the pathogenesis of acute postoperative endophthalmitis. Ophthalmology 98:639–649

    PubMed  CAS  Google Scholar 

  5. Kresloff MS, Castellarin AA, Zarbin MA (1998) Endophthalmitis. Surv Ophthalmol 43:193–224

    Article  PubMed  CAS  Google Scholar 

  6. Wong TY, Chee SP (2004) The epidemiology of acute endophthalmitis after cataract surgery in an Asian population. Ophthalmology 111:699–705

    Article  PubMed  Google Scholar 

  7. Nagaki Y, Hayasaka S, Kadoi C, Matsumoto M, Yanagisawa S, Watanabe K et al (2003) Bacterial endophthalmitis after small-incision cataract surgery: effect of incision placement and intraocular lens type. J Cataract Refract Surg 29:20–26

    Article  PubMed  Google Scholar 

  8. Cooper BA, Holekamp NM, Bohigian G, Thompson PA (2003) Case-control study of endophthalmitis after cataract surgery comparing scieral tunnel and clear corneal wounds. Am J Ophthalmol 136:300–305

    Article  PubMed  Google Scholar 

  9. Wejde G, Samolov B, Seregard S, Koranyi G, Montan PG (2005) Risk factors for endophthalmitis following cataract surgery: a retrospective case-control study. J Hosp Infect 61:251–256

    Article  PubMed  CAS  Google Scholar 

  10. Miller JJ, Scott IU, Flynn HW Jr, Smiddy WE, Newton J, Miller D (2005) Acute-onset endophthalmitis after cataract surgery (2000–2004): incidence, clinical settings, and visual acuity outcomes after treatment. Am J Ophthalmol 139:983–987

    Article  PubMed  Google Scholar 

  11. Olson RJ (2004) Reducing the risk of postoperative endophthalmitis. Surv Ophthalmol 49(Suppl 2):S55–S61

    Article  PubMed  Google Scholar 

  12. Ciulla TA, Starr MB, Masket S (2002) Bacterial endophthalmitis prophylaxis for cataract surgery: an evidencebased update. Ophthalmology 109:13–26

    Article  PubMed  Google Scholar 

  13. West ES, Behrens A, McDonnell PJ, Tielsch JM, Schein OD (2005) The Incidence of endophthalmitis after cataract surgery among the U.S. Medicare population increased between 1994 and 2001. Ophthalmology 112:1388–1394

    Article  PubMed  Google Scholar 

  14. Taban M, Behrens A, Newcomb RL, Nobe MY, Saedi G, Sweet PM et al (2005) Acute endophthalmitis following cataract surgery. A systematic review of the literature. Arch Ophthalmol 123:613–620

    Article  PubMed  Google Scholar 

  15. Barza M, Pavan PR, Doft BH, Wisniewski SR, Wilson LA, Han DP et al (1997) Evaluation of microbiological diagnostic techniques in postoperative endophthalmitis in Endophthalmitis Vitrectomy Study. Arch Ophthalmol 115:1142–1150

    PubMed  CAS  Google Scholar 

  16. Almeida LNF, Canêdo MGRR, Almeida RNF, Sobrinho EFA, Nehemy MB (2005) Macular infarction after intravitreal injection of amikacin: case report. Arq Bras Oftalmol 68(6):837–840

    Article  PubMed  Google Scholar 

  17. Aldave AJ, Stein JD, Deramo VA, Shah GK, Fischer DH, Maguire JI (1996) Treatment strategies for postoperative Propionibacteriumacnesendophthalmitis. Ophthalmology 106(12):2395–2401

    Article  Google Scholar 

  18. Clark WL, Kaiser PK, Flynn HW Jr, Belfort A, Miller D, Meisler DM (1999) Treatment strategies and visual acuity outcomes in chronic postoperative Propionibacterium acnes endophthalmitis. Ophthalmology 106(9):1665–1670

    Article  PubMed  CAS  Google Scholar 

  19. Walker CB, Claoue CMP (1986) Incidence of conjunctival colonization by bacteria capable of causing postoperative endophthalmitis. J R Soc Med 79:520-521

    PubMed  CAS  Google Scholar 

  20. Gollamudi SR, Hodapp EA, Cubillas A, Culbertson WM (1993) Photographically documented access of tear film to the anterior chamber through a leaky filtering bleb. Arch Ophthalmol 111:394–345

    PubMed  CAS  Google Scholar 

  21. Soltau JB, Rothman RF, Budenz DL, Greenfield DS, Feuer WMS, Liebmann J et al (2000) Risk factors for glaucoma filtering bleb infections. Arch Ophthalmol 118:338–342

    PubMed  CAS  Google Scholar 

  22. Greenfield DS, Suner IJ, Miller MR Kangas TA, Palmberg PF, Flynn HWJr(1996) Endophthalmitis after filtering surgery with mitomycin. Arch Ophthalmol 114(8):943–949

    PubMed  CAS  Google Scholar 

  23. Mac I, Soltau JB (2003) Glaucoma-filtering bleb infections. Curr Opin Ophthalmol 14:91–94

    Article  PubMed  Google Scholar 

  24. Busbee BG, Recchia F M, Kaiser R, Nagra P, Rosenblatt B, Pearlman RB (2004) Bleb-associated endophthalmitis. Clinical characteristics and visual outcomes. Ophthalmology 111:1495–1503

    Article  PubMed  Google Scholar 

  25. Mandelbaum S, Forster RK, Gelender H, Culbertson W (1985) Late onset endophthalmitis associated with filtering blebs. Ophthalmology 92(7):964–972

    PubMed  CAS  Google Scholar 

  26. Josephberg RG (2003) Sutureless vitrectomy surgery [Letter]. Ophthalmology 110(12):2427

    Article  PubMed  Google Scholar 

  27. Doft BM, Kelsey SF, Wisniewski SR (2000) Retinal detachment in the Endophthalmitis Vitrectomy Study; the Endophthalmitis Vitrectomy Study Group. Arch Ophthalmology 118:1661–1665

    CAS  Google Scholar 

  28. Kaynak S, Öner FH, Koçak N, Çingel G (2003) Surgical management of postoperative endophthalmitis: comparison of 2 techniques. J Cataract Refract Surg 29:966–969

    Article  PubMed  Google Scholar 

  29. Olson JC, Flynn HW, Forster RK, Culbertson WW (1983) Results in the treatment of postoperative endophthalmitis. Ophthalmology 90:692–699

    PubMed  CAS  Google Scholar 

  30. Ozdamar A, Aras C, Ozturk R, Akin E, Karacorlu M, Ercikan C (1999) In vitro antimicrobial activity of silicone oil against endophthalmitis-causing agents. Retina 19:122–126

    Article  PubMed  CAS  Google Scholar 

  31. Zimmer-Galler IE, Santos A, Haller JA, Campochiaro PA (1997) Management of endophthalmitis in a silicone oil filled eye. Retina 17:507–509

    Article  PubMed  CAS  Google Scholar 

  32. Bali E, Huyghe P, Caspers L, Libert J (2003) Vitrectomy and silicone oil in the treatment of acute endophthalmitis. Preliminary results. Bull Soc Belge Ophtalmol 288:9–14

    PubMed  Google Scholar 

  33. Aras C, Yolar M, Sevim O (2004) Surgical management of postoperative endophthalmitis [Letter]. J Cataract Refract Surg 30:1612

    Article  PubMed  Google Scholar 

  34. Aras C, Ozdamar A, Karacorlu M, Ozkan S (2001) Silicone oil in the surgical treatment of endophtalmitis associated with retinal detachment. Intl Ophthalmol 24:147–156

    Article  CAS  Google Scholar 

  35. De Smet MD, Carlborg EAE (2005) Managing severe endophthalmitis with the use of an endoscope. Retina 25:976–980

    Article  PubMed  Google Scholar 

  36. Meredith TA (2006) Vitrectomy for infectious endophthalmitis. In: Ryan SJ, Wilkinson CP (eds) Retina. Surgical Retina, 4th edn. Mosby, St Louis, pp 2255–2275

    Google Scholar 

  37. Bucher RS, Hall E, Reed DM, Richards JE, Johnson MW, Zacks DN (2005) Effect of intravitreal triamcinolone acetonide on susceptibility to experimental bacterial endophthalmitis and subsequent response to treatment. Arch Ophthalmol 123(5):649–653

    Article  PubMed  CAS  Google Scholar 

  38. Das T, Jalali S, Gothwal VK, Sharma S, Naduvilath TJ (1999) Intravitreal dexamethasone in exogenous bacterial endophthalmitis: results of a prospective randomised study. Br J Ophthalmol 83:1050–1055

    Article  PubMed  CAS  Google Scholar 

  39. Shah GK, Stein JD, Sharma S, Sivalingam A, Benson WE, Regillo CD et al (2000) Visual outcomes following the use of intravitreal steroids in the treatment of postoperative endophthalmitis. Ophthalmology 107:486–489

    Article  PubMed  CAS  Google Scholar 

  40. Kamei M, Estafanous M, Lewis H (2000) Tissue plasminogen activator in the treatment of vitreoretinal diseases. Semin Ophthalmol 15(l):44–50

    Article  PubMed  CAS  Google Scholar 

  41. Galloway G, Ramsay A, Jordan K, Vivian A (2002) Macular infarction after intravitreal amikacin: mounting evidence against amikacin [Letter]. Br J Ophthalmol 86:359–360

    Article  PubMed  CAS  Google Scholar 

  42. Kwok AK, Hui M, Pang CP, Chan RC, Cheung SW, Yip CM et al (2002) An in vitro study of ceftazidime and vancomycin concentrations in various fluid media: implications for use in treating endophthalmitis. Invest Ophthalmol Vis Sci 43:1182–1188

    PubMed  Google Scholar 

  43. Lifshitz T, Lapid-Gortzak R, Finkelman Y, Klemperer I (2000) Vancomycin and ceftazidime incompatibility upon intravitreal injection [Letter]. Br J Ophthalmol 84:117

    Article  PubMed  CAS  Google Scholar 

  44. Hui M, Kwok AK, Pang CP, Cheung SW, Chan RC, Lam DS et al (2004) An in vitro study on the compatibility and precipitation of a combination of ciprofloxacin and vancomycin in human vitreous. Br J Ophthalmol 88:218–222

    Article  PubMed  CAS  Google Scholar 

  45. Vedantham V (2005) Ciprofloxacin in endophthalmitis: an alternative to ceftazidime and amikacin [Letter]. Br J Ophthalmol 89:249

    Article  PubMed  CAS  Google Scholar 

  46. Benz MS, Scott IU, Flynn HW Jr, Unonius N, Miller D (2004) Endophthalmitis isolates and antibiotic sensitivities: a 6-year review of culture-proven cases. Am J Ophthalmol 137:38–42

    Article  PubMed  Google Scholar 

  47. Recchia FM, Busbee BG, Pearlman RB, Carvalho-Recchia CA, Ho AC (2005) Changing trends in the microbiologic aspects of postcataract endophthalmitis. Arch Ophthalmol 123:341–346

    Article  PubMed  Google Scholar 

  48. Davis AS, Gentile RC, Shah M, Seedor JA, Ritterband DC, Will D (2004) Increasing resistance of endophthalmitis isolates to fluorquinolones- A sixteen year review. Invest Ophthalmol Vis Sci 45:E-Abstract 517

    Google Scholar 

  49. Hariprasad SM, Shah GK, Mieler WF, Feiner L, Blinder KJ, Holekamp NM et al (2006) Vitreous and aqueous penetration of orally administered moxifloxacin in humans. Arch Ophthalmol 124:178–182

    Article  PubMed  CAS  Google Scholar 

  50. Flynn HW, Pulido JS, Pflugfelder SC, Davis JL, Culbertson WW, Roussel TJ et al (1991) Endophthalmitis therapy: changing antiobiotic sensitivity patterns and current therapeutic recommendations. Arch Ophthalmol 109:175–176

    PubMed  Google Scholar 

  51. Smiddy WE, Smiddy RJ, BaArath B, Flynn, Jr. HW, Murray TG, Feuer WJ et al (2005) Subconjunctival antibiotics in the treatment of endophthalmitis managed without vitrectomy. Retina 25:751–758

    Article  PubMed  Google Scholar 

  52. Ng JQ, Morlet N, Pearman JW, Constable IJ, McAllister IL, Kennedy CJ et al for Team EPSWA (2005) Management and outcomes of postoperative endophthalmitis since the Endophthalmitis Vitrectomy Study. The Endophthalmitis Population Study of Western Australia (EPSWA)’s fifth report. Ophthalmology 112:1199–1206

    Article  PubMed  Google Scholar 

  53. Rudometkin NJ, Thomas EL, Hunter KA (2005) Case Selection, complications, and visual recovery during the initial sixty-two cases using 25-gauge vitrectomy. Invest Ophthalmol Vis Sci 46:E-Abstract 5460

    Google Scholar 

  54. Yanyali A, Celik E, Horozoglu F, Oner S, Nohutcu AF (2006) 25-Gauge transconjunctival sutureless pars plana vitrectomy. Eur J Ophthalmol 16(1):141–147

    PubMed  CAS  Google Scholar 

  55. Rezende FA, Alcântara S, Regis LGT (2005) Transconjunctival vitrectomy: preliminary data using the TSV-25 Millennium System. Arq Bras Oftalmol 68(6):721–726

    Article  Google Scholar 

  56. Wu PC, Li M, Chang SJ, Teng MC, Yow SG, Shin SJ et al (2006) Risk of endophthalmitis after cataract surgery using different protocols for povidone-iodine preoperative disinfection. J Ocul Pharmacol Ther 22(1):54–61

    Article  PubMed  CAS  Google Scholar 

  57. Carlson AN, Stewart WC, Tso PC (1998) Intraocular lens complications requiring removal or exchange [review]. Surv Ophthalmol 42:417–440

    Article  PubMed  CAS  Google Scholar 

  58. Burnstein AL, WuDunn D, Knotts SL, Catoira Y, Cantor LB (2002) Conjunctival advancement versus nonincisional treatment for late-onset glaucoma filtering bleb leaks. Ophthalmology 109(l):71–75

    Article  PubMed  Google Scholar 

  59. Dacey MP, Valencia M, Lee MB, Dugel PU, Ober RR, Green RL et al (1994) Echographic findings in infectious endophthalmitis. Arch Ophthalmol 112(10): 1325–1333

    PubMed  CAS  Google Scholar 

  60. Fujii GY, de Juan E Jr., Humayun MS, Chang T, Pieramici DJ, Barnes A et al (2002) Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery. Ophthalmology 109:1814–1820

    Article  PubMed  Google Scholar 

  61. Lakhanpal RR, Humayun MS, de Juan E Jr, Lim JI, Chong LP, Chang TS et al (2005) Outcomes of 140 consecutive cases of 25-gauge transconjunctival surgery for posterior segment disease. Ophthalmology 112(5):817–824

    Article  PubMed  Google Scholar 

  62. Shimada H, Nakashizuka H, Mori R, Mizutani Y, Hattori T(2006) 25-gauge scierai tunnel transconjunctival vitrectomy. Am J Ophthalmol 142:871–873

    Article  PubMed  Google Scholar 

  63. Mieler WF, Glazer LC, Bennett SR, Han DP (1992) Favourable outcome of traumatic endophthalmitis with associated retinal breaks or detachment. Can J Ophthalmol 27(7):348–352

    PubMed  CAS  Google Scholar 

  64. Hagemann LF, Kostamaa HJ, Jehan FS, Marques LEA, Kurtz R, Kuppermann B (2005) How to create an immediate self sealing sclerotomy for cannula placement in 25 gauge vitrectomy using a tunnel incision. Invest Ophthalmol Vis Sci 46:E-Abstract 5463

    Google Scholar 

  65. Kunimoto DY, Kaiser RS, Wills (2007) Eye Retina Service. Incidence of endophthalmitis after 20- and 25-gauge vitrectomy. Ophthalmology 114:2133–2137

    Article  PubMed  Google Scholar 

  66. Rizzo S, Genovesi-Ebert F, Vento A, Miniaci S, Cresti F, Palla M (2007) Modified incision in 25-gauge vitrectomy in the creation of a tunneled airtight sclerotomy: an ultrabiomicroscopic study. Graefes Arch Clin Exp Ophthalmol 245:1281–1288

    Article  PubMed  Google Scholar 

  67. López-Guajardo L, Pareja-Esteban J, Teus-Guezala MA (2006) Oblique sclerotomy technique for prevention of incompetent wound closure in transconjunctival 25-gauge vitrectomy. Am J Ophthalmol 141:1154–1156

    Article  PubMed  Google Scholar 

  68. Costa VP, Spaeth GL, Eiferman RA, Orengo-Nania S (1993) Wound healing modulation in glaucoma filtraton surgery. Ophthalmic Surg 24:152–170

    PubMed  CAS  Google Scholar 

  69. Endophthalmitis Study Group, European Society of Cataract & Refractive Surgeons (2007) Prophylaxis of postoperative endophthalmitis following cataract surgery: results of the ESCRS multicenter study and identification of risk factors. J Cataract Refract Surg 33(6):978–988

    Article  Google Scholar 

  70. Kuhn F, Gini G Vitrectomy for endophthalmitis. Ophthalmology (2006); 113(4):714.

    Article  PubMed  Google Scholar 

  71. Eckardt C (2005) Transconjunctival sutureless 23-gauge vitrectomy. Retina 25(2):208–211

    Article  PubMed  Google Scholar 

  72. Fine HF, Iranmanesh R, Iturralde D, Spaide RF (2007) Outcomes of 77 consecutive cases of 23-gauge transconjunctival vitrectomy surgery for posterior segment disease. Ophthalmology 114:1197–1200

    Article  PubMed  Google Scholar 

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Rezende, F.A., Kickinger, M. (2009). 25-Gauge Vitrectomy in Infectious Endophthalmitis. In: Rizzo, S., Patelli, F., Chow, D.R. (eds) Vitreo-retinal Surgery. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68586-9_14

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