J Korean Ophthalmol Soc > Volume 51(6); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(6):899-903.
DOI: https://doi.org/10.3341/jkos.2010.51.6.899    Published online June 15, 2010.
A Case of Acute Endophthalmitis After 23-gauge Transconjunctival Sutureless Vitrectomy.
Jae Hun Chung, Dong Jin Chang, Won Ki Lee, Chai Ho Shin, Sang Chul Park, Jeong Wan Ryu
1Seoul St. Mary's Eye Clinic, Suwon, Korea. drwan7@naver.com
2Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Seoul, Korea.
23게이지 무봉합 유리체절제술 후 발생한 급성 안내염 1예
정재훈1ㆍ장동진2ㆍ이원기2ㆍ신채호1ㆍ박상철1ㆍ류정완1
Seoul St. Mary’s Eye Clinic1, Suwon, Korea Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine2, Seoul, Korea
Abstract
PURPOSE
To report a case of acute endophthalmitis associated with 23-gauge transconjunctival sutureless vitrectomy and gas tamponade for macular hole surgery. CASE SUMMARY: A 66-year-old female patient who presented with a macular hole in the left eye was treated with 23-gauge transconjunctival sutureless vitrectomy. On postoperative day 2, the patient developed acute endophthalmitis and was treated with gas-fluid exchange, lensectomy and intravitreal antibiotic injection. Staphylococcus epidermidis was detected in the vitreous fluid of the operated eye. Intraoperative fundus findings showed severe retinal hemorrhage, vascular occlusion and fibrous membranes due to inflammatory response. After treatment, the patient's fundus findings markedly improved and the inflammatory response was controlled. CONCLUSIONS: Acute endophthalmitis after sutureless vitrectomy performed via intraocular gas injection may quickly result in inflammation and disease due to infection. Immediate reoperation and intravitreal antibiotic injections are recommended in such cases.
Key Words: 23-gauge transconjunctival sutureless vitrectomy;Endophthalmitis;Macular hole;Staphylococcus epidermidis


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