Titre du document / Document title

Endophthalmitiden nach intraokularen Eingriffen = Endophthalmitis after intraocular operations

Auteur(s) / Author(s)

STRMEN P. ⁽¹⁾ ; HLAVACKOVA K. ⁽¹⁾ ; KERKOVA S. ⁽¹⁾ ; VAVROVA K. ⁽¹⁾ ; JAKOBOVICOVA E. ⁽¹⁾ ; VRASTILOVA M. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Universitäts-Augenklinik, Bratislava, SLOVAQUIE

Résumé / Abstract

Background Endophthalmitis is serious complication of intraocular surgery. At the University Eye Clinic Bratislava we performed a retrospective study on the occurence of endophthalmitis after various intraocular procedures. Material and Methods Over the years 1993-1995 we performed 2374 cataract extractions, 305 anti-glaucoma operations, 106 perforating keratoplasties and 926 pars plana vitrectomies. The charts of all patients were reviewed. The occurence of endophthalmitis, type of surgery, perioperative complications, elapsed time between surgery and start of end-ophthalmitis results of praeoperative conjunctival smear cultures, final anatomical and functional results were evaluated. Results The frequency of endophthalmitis after cataract extraction was 0.84%, after antiglaucoma surgery 1.31% and 0.97% after pars plana vitrectomy. No endophthalmitis was found after penetrating keratoplasties. In most cases endophthalmitis began in the first three days after surgery. Endophthalmitis occurred after uncomplicated as well as after surgical procedures with various perioperative complications. The praeoperative conjunctival smear cultures were sterile in 22 patients. Staphylococcus epidermidis was the most commonly cultured germ. All patients were treated with antibiotics parenterally and locally. Pars plana vitrectomy and intravitreal application of antibiotics was performed only exceptionally. Enucleation was required in two eyes and two other eyes become phthitical. 22 eyes recovered without serious complications. Five eyes were blind and in 11 eyes the final visual acuity was better than 6/36. Conclusions Prae-, peri-, and postoperative measures must be improved to prevent postoperative endophthalmitis. In cases of endophthalmitis all therapeutical options have to be performed as soon as possible to save the patient's eye and sight.

Revue / Journal Title

Klinische Monatsblätter für Augenheilkunde   ISSN 0023-2165   CODEN KMAUAI 

Source / Source

1997, vol. 211, n^o4, pp. 245-249 (22 ref.)

Langue / Language

Allemand

Editeur / Publisher

Thieme, Stuttgart, ALLEMAGNE  (1963) (Revue)

Mots-clés anglais / English Keywords

Surgery ; Intraocular ; Eye ; Complication ; Endophtalmitis ; Postoperative ; Prevention ; Human ; Eye disease ; Uvea disease ;

Mots-clés français / French Keywords

Chirurgie ; Intraoculaire ; Oeil ; Complication ; Endophtalmie ; Postopératoire ; Prévention ; Homme ; Oeil pathologie ; Uvée pathologie ;

Mots-clés espagnols / Spanish Keywords

Cirugía ; Intraocular ; Ojo ; Complicación ; Endoftalmitis ; Postoperatorio ; Prevención ; Hombre ; Ojo patología ; Uvea patología ;

Localisation / Location

INIST-CNRS, Cote INIST : 3850 A, 35400006978804.0050