Clinical analysis of vitrectomy combined with endotamponade for severe endophthalmitis

1. Dr Song Chen
2. Dr Yan Liu

Tianjin Eye Hospital

Objective To evaluate the result of vitrectomy combined with endotamponade for severe endophthalmitis and analyze the factors affected postoperative visual acuities(VA).

Methods 66 consccutive patients(66 eyes) diagnosed as posttraumatic and postoperative severe endophthalmitis and treated by vitrectomy combined with endotamponade were retrospectively evaluated. Postoperative follow-up ranged from 2 to 25months(mean 7.9months).

Results 66cases of severe endothalmitis were all treated successfully. Postoperative VA of 58 eyes(87.9%) increased,5 eyes didn¡¯t chang and 39eyes(59.1%) was equal or better than 0.05.Postoperative VA increased significantly(¦Ö2=45.27£¬P£¼0.05).

Conclusions Perforating injury of eyeball was the main cause of severe endophthalmitis. Vitrectomy with endotamponade is a good method for the treatment of severe endophthalmitis.The Postoperative VA is associated with cause of endophthalmitis, VA at presentation ,isolation of organism, removal of lens and the type of endotamponade.