Abstract

Background: Endophthalmitis is one of the emergencies in ophthalmology and can cause blindness. The most common cause of endophthalmitis in intraocular surgery is cataract surgery. Immediate diagnosis and treatment can provide optimal final vision. This research aimed to describe the demographic data, and causative microorganisms, as well as the success rate of visual outcome after pars plana vitrectomy (PPV) in post-cataract surgery endophthalmitis in Cipto Mangunkusumo Hospital.
 Methods: A retrospective descriptive study of post-cataract surgery endophthalmitis underwent vitrectomy in Cipto Mangunkusumo Hospital, Indonesia, from January 2017 - June 2017.
 Results: There were twenty one cases of post-cataract surgery endophthalmitis undergoes PPV within the period of January 2017-June 2017. The most frequently identified causative microorganism was Staphylococcus (23%). There was an improvement of visual acuity after PPV procedure in 47,6% post-cataract surgery endophthalmitis.
 Conclusion: Immediate PPV is an effective treatment and leads to vision improvement in post-cataract surgery endophthalmitis.
 
 Keywords: pars plana vitrectomy, endophthalmitis, cataract surgery

Highlights

  • Endophthalmitis is an emergency that can cause blindness and requires immediate treatment to get better final visual acuity

  • Other study suggests that post-cataract surgery endophthalmitis has increased in the last two decades from 0.09% in the 1990 to 0.27% in the 2000

  • Endophthalmitis Vitrectomy Study (EVS) found that cases with initial visual acuity (VA) of light perception (LP) had improve final VA of 20/40 or better, and can reduce the poor final visual outcome by 50%

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Summary

Introduction

Endophthalmitis is an emergency that can cause blindness and requires immediate treatment to get better final visual acuity. Other study suggests that post-cataract surgery endophthalmitis has increased in the last two decades from 0.09% in the 1990 to 0.27% in the 2000. This research aimed to describe the demographic data, and causative microorganisms, as well as the success rate of visual outcome after pars plana vitrectomy (PPV) in post-cataract surgery endophthalmitis in Cipto Mangunkusumo Hospital. Methods: A retrospective descriptive study of post-cataract surgery endophthalmitis underwent vitrectomy in Cipto Mangunkusumo Hospital, Indonesia, from January 2017 - June 2017. There was an improvement of visual acuity after PPV procedure in 47,6% post-cataract surgery endophthalmitis. Conclusion: Immediate PPV is an effective treatment and leads to vision improvement in post-cataract surgery endophthalmitis.

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