Comparative outcomes of pars plana vitrectomy in acute postoperative endophthalmitis with 25-gauge and 20-gauge techniques
Purpose To evaluate the safety and outcomes of 25-gauge pars plana vitrectomy (PPV) in the treatment of postoperative endophthalmitis and compare it with 20-gauge PPV. Methods The medical records of all patients diagnosed with acute endophthalmitis following cataract surgery who underwent PPV betwee...
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| Veröffentlicht in: | Japanese journal of ophthalmology 2009-09, Vol.53 (5), p.506-511 |
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| creator | Altan, Tugrul Kapran, Ziya Eser, Ilker Acar, Nur Ünver, Yaprak Banu Yurttaser, Serap |
| description | Purpose
To evaluate the safety and outcomes of 25-gauge pars plana vitrectomy (PPV) in the treatment of postoperative endophthalmitis and compare it with 20-gauge PPV.
Methods
The medical records of all patients diagnosed with acute endophthalmitis following cataract surgery who underwent PPV between December 2000 and December 2007 were reviewed. Main outcome measures included final visual acuity (VA), additional interventions, and both intraoperative and postoperative complications.
Results
Records of 70 eyes of 70 patients with a condition diagnosed as postoperative endophthalmitis were evaluated. Fifty-eight eyes underwent 20-gauge PPV (group 1), and 12 eyes underwent 25-gauge PPV (group 2). Mean follow-up time for group 1 was 9.6 ± 8.8 months, and for group 2, 7.9 ± 12.7 months (
P
= 0.57). Median VA at presentation was hand motion in both groups. The differences between the two groups in frequencies of visual outcome levels of 20/800 and 20/100 were significant in favor of group 2 (20/800,
P
= 0.006; 20/100,
P
= 0.01). In group 2, fewer additional interventions were required, and postoperative complications tended to be less frequent.
Conclusions
Twenty-five-gauge PPV seems to be safe and effective in the management of postoperative endophthalmitis. This sutureless technique may have some advantages over 20-gauge surgery, but controlled studies are needed to confirm the results. |
| doi_str_mv | 10.1007/s10384-009-0718-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_734097672</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1893655331</sourcerecordid><originalsourceid>FETCH-LOGICAL-c394t-7985f249035dc6bda7fe2bda67ffe1bcf36769ff6813a6252d355437b90169813</originalsourceid><addsrcrecordid>eNp1kUGPFCEQhYnRuLOrP8CLIV48oQU00BzNZNVNNvGiZ8LQMMNmummBXrPz62UynWxi4qlSxfdeUXkIvaPwiQKoz4UC7zsCoAko2pPTC7ShknLCWCdfog0Ao0RQIa7QdSkPANAxzl6jK6r7TklQG3TapnG22db46HFaqkujLzgF3IYFz0c7WfwYa_aupvEJxwlbt1SP51Rqmv0q9NOQ5kM92OMYayz4T6wHzATZ22XvsZ0GzGBtqneHKf5efHmDXgV7LP7tWm_Qr6-3P7ffyf2Pb3fbL_fEcd1VonQvAus0cDE4uRusCp61IlUInu5c4FJJHYLsKbeSCTZwITqudhqo1G14gz5efOecznurGWNx_thu82kpRvEOtJKKNfLDP-RDWvLUPmcYpxQUY9AgeoFcTqVkH8yc42jzk6FgzrGYSyymxWLOsZhT07xfjZfd6IdnxZpDA9gFKO1p2vv8vPn_rn8BsCSZlw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>231107220</pqid></control><display><type>article</type><title>Comparative outcomes of pars plana vitrectomy in acute postoperative endophthalmitis with 25-gauge and 20-gauge techniques</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Altan, Tugrul ; Kapran, Ziya ; Eser, Ilker ; Acar, Nur ; Ünver, Yaprak Banu ; Yurttaser, Serap</creator><creatorcontrib>Altan, Tugrul ; Kapran, Ziya ; Eser, Ilker ; Acar, Nur ; Ünver, Yaprak Banu ; Yurttaser, Serap</creatorcontrib><description>Purpose
To evaluate the safety and outcomes of 25-gauge pars plana vitrectomy (PPV) in the treatment of postoperative endophthalmitis and compare it with 20-gauge PPV.
Methods
The medical records of all patients diagnosed with acute endophthalmitis following cataract surgery who underwent PPV between December 2000 and December 2007 were reviewed. Main outcome measures included final visual acuity (VA), additional interventions, and both intraoperative and postoperative complications.
Results
Records of 70 eyes of 70 patients with a condition diagnosed as postoperative endophthalmitis were evaluated. Fifty-eight eyes underwent 20-gauge PPV (group 1), and 12 eyes underwent 25-gauge PPV (group 2). Mean follow-up time for group 1 was 9.6 ± 8.8 months, and for group 2, 7.9 ± 12.7 months (
P
= 0.57). Median VA at presentation was hand motion in both groups. The differences between the two groups in frequencies of visual outcome levels of 20/800 and 20/100 were significant in favor of group 2 (20/800,
P
= 0.006; 20/100,
P
= 0.01). In group 2, fewer additional interventions were required, and postoperative complications tended to be less frequent.
Conclusions
Twenty-five-gauge PPV seems to be safe and effective in the management of postoperative endophthalmitis. This sutureless technique may have some advantages over 20-gauge surgery, but controlled studies are needed to confirm the results.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-009-0718-z</identifier><identifier>PMID: 19847607</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Acute Disease ; Adult ; Aged ; Aged, 80 and over ; Bacteria - isolation & purification ; Clinical Investigation ; Endophthalmitis - microbiology ; Endophthalmitis - surgery ; Eye Infections, Bacterial - microbiology ; Eye Infections, Bacterial - surgery ; Female ; Humans ; Intraocular Pressure ; Intraoperative Complications ; Male ; Medicine ; Medicine & Public Health ; Microsurgery - methods ; Middle Aged ; Ophthalmology ; Phacoemulsification - adverse effects ; Postoperative Complications ; Treatment Outcome ; Visual Acuity ; Vitrectomy - methods ; Vitreous Body - microbiology</subject><ispartof>Japanese journal of ophthalmology, 2009-09, Vol.53 (5), p.506-511</ispartof><rights>Japanese Ophthalmological Society (JOS) 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-7985f249035dc6bda7fe2bda67ffe1bcf36769ff6813a6252d355437b90169813</citedby><cites>FETCH-LOGICAL-c394t-7985f249035dc6bda7fe2bda67ffe1bcf36769ff6813a6252d355437b90169813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-009-0718-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-009-0718-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19847607$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Altan, Tugrul</creatorcontrib><creatorcontrib>Kapran, Ziya</creatorcontrib><creatorcontrib>Eser, Ilker</creatorcontrib><creatorcontrib>Acar, Nur</creatorcontrib><creatorcontrib>Ünver, Yaprak Banu</creatorcontrib><creatorcontrib>Yurttaser, Serap</creatorcontrib><title>Comparative outcomes of pars plana vitrectomy in acute postoperative endophthalmitis with 25-gauge and 20-gauge techniques</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose
To evaluate the safety and outcomes of 25-gauge pars plana vitrectomy (PPV) in the treatment of postoperative endophthalmitis and compare it with 20-gauge PPV.
Methods
The medical records of all patients diagnosed with acute endophthalmitis following cataract surgery who underwent PPV between December 2000 and December 2007 were reviewed. Main outcome measures included final visual acuity (VA), additional interventions, and both intraoperative and postoperative complications.
Results
Records of 70 eyes of 70 patients with a condition diagnosed as postoperative endophthalmitis were evaluated. Fifty-eight eyes underwent 20-gauge PPV (group 1), and 12 eyes underwent 25-gauge PPV (group 2). Mean follow-up time for group 1 was 9.6 ± 8.8 months, and for group 2, 7.9 ± 12.7 months (
P
= 0.57). Median VA at presentation was hand motion in both groups. The differences between the two groups in frequencies of visual outcome levels of 20/800 and 20/100 were significant in favor of group 2 (20/800,
P
= 0.006; 20/100,
P
= 0.01). In group 2, fewer additional interventions were required, and postoperative complications tended to be less frequent.
Conclusions
Twenty-five-gauge PPV seems to be safe and effective in the management of postoperative endophthalmitis. This sutureless technique may have some advantages over 20-gauge surgery, but controlled studies are needed to confirm the results.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bacteria - isolation & purification</subject><subject>Clinical Investigation</subject><subject>Endophthalmitis - microbiology</subject><subject>Endophthalmitis - surgery</subject><subject>Eye Infections, Bacterial - microbiology</subject><subject>Eye Infections, Bacterial - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intraocular Pressure</subject><subject>Intraoperative Complications</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microsurgery - methods</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Phacoemulsification - adverse effects</subject><subject>Postoperative Complications</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><subject>Vitrectomy - methods</subject><subject>Vitreous Body - microbiology</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUGPFCEQhYnRuLOrP8CLIV48oQU00BzNZNVNNvGiZ8LQMMNmummBXrPz62UynWxi4qlSxfdeUXkIvaPwiQKoz4UC7zsCoAko2pPTC7ShknLCWCdfog0Ao0RQIa7QdSkPANAxzl6jK6r7TklQG3TapnG22db46HFaqkujLzgF3IYFz0c7WfwYa_aupvEJxwlbt1SP51Rqmv0q9NOQ5kM92OMYayz4T6wHzATZ22XvsZ0GzGBtqneHKf5efHmDXgV7LP7tWm_Qr6-3P7ffyf2Pb3fbL_fEcd1VonQvAus0cDE4uRusCp61IlUInu5c4FJJHYLsKbeSCTZwITqudhqo1G14gz5efOecznurGWNx_thu82kpRvEOtJKKNfLDP-RDWvLUPmcYpxQUY9AgeoFcTqVkH8yc42jzk6FgzrGYSyymxWLOsZhT07xfjZfd6IdnxZpDA9gFKO1p2vv8vPn_rn8BsCSZlw</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Altan, Tugrul</creator><creator>Kapran, Ziya</creator><creator>Eser, Ilker</creator><creator>Acar, Nur</creator><creator>Ünver, Yaprak Banu</creator><creator>Yurttaser, Serap</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090901</creationdate><title>Comparative outcomes of pars plana vitrectomy in acute postoperative endophthalmitis with 25-gauge and 20-gauge techniques</title><author>Altan, Tugrul ; Kapran, Ziya ; Eser, Ilker ; Acar, Nur ; Ünver, Yaprak Banu ; Yurttaser, Serap</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-7985f249035dc6bda7fe2bda67ffe1bcf36769ff6813a6252d355437b90169813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bacteria - isolation & purification</topic><topic>Clinical Investigation</topic><topic>Endophthalmitis - microbiology</topic><topic>Endophthalmitis - surgery</topic><topic>Eye Infections, Bacterial - microbiology</topic><topic>Eye Infections, Bacterial - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intraocular Pressure</topic><topic>Intraoperative Complications</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Microsurgery - methods</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Phacoemulsification - adverse effects</topic><topic>Postoperative Complications</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><topic>Vitrectomy - methods</topic><topic>Vitreous Body - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Altan, Tugrul</creatorcontrib><creatorcontrib>Kapran, Ziya</creatorcontrib><creatorcontrib>Eser, Ilker</creatorcontrib><creatorcontrib>Acar, Nur</creatorcontrib><creatorcontrib>Ünver, Yaprak Banu</creatorcontrib><creatorcontrib>Yurttaser, Serap</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Altan, Tugrul</au><au>Kapran, Ziya</au><au>Eser, Ilker</au><au>Acar, Nur</au><au>Ünver, Yaprak Banu</au><au>Yurttaser, Serap</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative outcomes of pars plana vitrectomy in acute postoperative endophthalmitis with 25-gauge and 20-gauge techniques</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><addtitle>Jpn J Ophthalmol</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>53</volume><issue>5</issue><spage>506</spage><epage>511</epage><pages>506-511</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><abstract>Purpose
To evaluate the safety and outcomes of 25-gauge pars plana vitrectomy (PPV) in the treatment of postoperative endophthalmitis and compare it with 20-gauge PPV.
Methods
The medical records of all patients diagnosed with acute endophthalmitis following cataract surgery who underwent PPV between December 2000 and December 2007 were reviewed. Main outcome measures included final visual acuity (VA), additional interventions, and both intraoperative and postoperative complications.
Results
Records of 70 eyes of 70 patients with a condition diagnosed as postoperative endophthalmitis were evaluated. Fifty-eight eyes underwent 20-gauge PPV (group 1), and 12 eyes underwent 25-gauge PPV (group 2). Mean follow-up time for group 1 was 9.6 ± 8.8 months, and for group 2, 7.9 ± 12.7 months (
P
= 0.57). Median VA at presentation was hand motion in both groups. The differences between the two groups in frequencies of visual outcome levels of 20/800 and 20/100 were significant in favor of group 2 (20/800,
P
= 0.006; 20/100,
P
= 0.01). In group 2, fewer additional interventions were required, and postoperative complications tended to be less frequent.
Conclusions
Twenty-five-gauge PPV seems to be safe and effective in the management of postoperative endophthalmitis. This sutureless technique may have some advantages over 20-gauge surgery, but controlled studies are needed to confirm the results.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>19847607</pmid><doi>10.1007/s10384-009-0718-z</doi><tpages>6</tpages></addata></record> |
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| ispartof | Japanese journal of ophthalmology, 2009-09, Vol.53 (5), p.506-511 |
| issn | 0021-5155 1613-2246 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Acute Disease Adult Aged Aged, 80 and over Bacteria - isolation & purification Clinical Investigation Endophthalmitis - microbiology Endophthalmitis - surgery Eye Infections, Bacterial - microbiology Eye Infections, Bacterial - surgery Female Humans Intraocular Pressure Intraoperative Complications Male Medicine Medicine & Public Health Microsurgery - methods Middle Aged Ophthalmology Phacoemulsification - adverse effects Postoperative Complications Treatment Outcome Visual Acuity Vitrectomy - methods Vitreous Body - microbiology |
| title | Comparative outcomes of pars plana vitrectomy in acute postoperative endophthalmitis with 25-gauge and 20-gauge techniques |
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