VITRECTOMY FOR ENDOPHTHALMITIS IN EYES WITH OSTEOKERATOPROSTHESIS
Por:
Vilaplana, F, Nadal, J, Temprano, J, Julio, G, Olivera, M, Casaroli-Marano, RP and Barraquer, RI
Publicada:
1 may 2020
Resumen:
Purpose: To analyze functional and anatomical results of pars plana vitrectomy (PPV) to treat endophthalmitis in eyes with osteokeratoprosthesis. Methods: An observational, retrospective study of five eyes suffering from endophthalmitis, after an osteokeratoprosthesis implantation, which underwent PPV associated with intravitreal antibiotics. The minimum follow-up after PPV was 6 months. A descriptive study and a Kaplan-Meier survival analysis for anatomical (attached retina during the follow-up) and functional success (visual acuity >= 20/400) were performed. Results: Best-corrected visual acuity during the final follow-up was 20/100 in 1 case (20%), hand movement in another case (20%), and no light perception in 3 cases (60%). The anatomical survival rates were recorded at 80%, 60%, and 40% at 1, 6, and 8 months respectively, and this last value was maintained at 12 months after PPV. The functional survival rates were recorded at 40% and 20% at 1 month and 8 months, respectively, and this last value was maintained at 12 months after PPV. Conclusion: Endophthalmitis in eyes with previous osteokeratoprosthesis is a very severe complication with a reserved prognosis. Pars plana vitrectomy associated with intravitreal antibiotics leads to maintaining or increasing visual acuity in a small proportion of patients who otherwise would end up blind.
Filiaciones:
:
Univ Autonoma Barcelona UAB, Inst Univ Barraquer, Barcelona, Spain
Univ Autonoma Barcelona UAB, Hosp Univ Germans Trias & Pujol, Badalona, Spain
Nadal, J:
Univ Autonoma Barcelona UAB, Inst Univ Barraquer, Barcelona, Spain
Ctr Oftalmol Barraquer, Retina Cornea & Clin Invest Dept, Barcelona, Spain
Temprano, J:
Univ Autonoma Barcelona UAB, Inst Univ Barraquer, Barcelona, Spain
Ctr Oftalmol Barraquer, Retina Cornea & Clin Invest Dept, Barcelona, Spain
Julio, G:
Univ Autonoma Barcelona UAB, Inst Univ Barraquer, Barcelona, Spain
Ctr Oftalmol Barraquer, Retina Cornea & Clin Invest Dept, Barcelona, Spain
Olivera, M:
Univ Autonoma Barcelona UAB, Inst Univ Barraquer, Barcelona, Spain
Ctr Oftalmol Barraquer, Retina Cornea & Clin Invest Dept, Barcelona, Spain
Casaroli-Marano, RP:
Univ Barcelona UB, Sch Med, Dept Surg, Barcelona, Spain
Hosp Clin Barcelona, Barcelona, Spain
Barraquer, RI:
Univ Autonoma Barcelona UAB, Inst Univ Barraquer, Barcelona, Spain
Ctr Oftalmol Barraquer, Retina Cornea & Clin Invest Dept, Barcelona, Spain
Univ Int Catalunya UIC, Barcelona, Spain
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