2026-04-18T07:07:21Zhttps://recercat.cat/oai/requestoai:recercat.cat:20.500.12328/39142025-05-16T13:01:02Zcom_2072_67741col_2072_484352
Vitrectomy for endophthalmitis in eyes with osteokeratoprosthesis
Vilaplana, Ferran
Nadal, Jeroni
Temprano, José
Julio, Gemma
Olivera, Maximiliano
Casaroli Marano, Ricardo P.
Barraquer, Rafael Ignasi
Queratoplàstia
Queratopròtesi
Endoftalmitis
Vitrectomia pars plana
Infecció bacteriana
Antibiòtics intravítres
Extrusió de pròtesis
Despreniment de retina
Glaucoma
Despreniment de coroides
Queratoplastia
Queratoprótesis
Endoftalmitis
Vitrectomía pars plana
Infección bacteriana
Antibióticos intravítreos
Extrusión de prótesis
Desprendimiento de retina
Glaucoma
Desprendimiento de coroides
61
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.
info:eu-repo/semantics/publishedVersion
2020
info:eu-repo/semantics/article
Vilaplana, Ferran; Nadal, Jeroni; Temprano, José [et al.]. Vitrectomy for endophthalmitis in eyes with osteokeratoprosthesis. Retina, 2020, 40(5), p. 903-907. Disponible en: <https://journals.lww.com/retinajournal/abstract/2020/05000/vitrectomy_for_endophthalmitis_in_eyes_with.15.aspx>. Fecha de acceso: 19 ene. 2024. DOI: 10.1097/IAE.0000000000002495
0275-004X
http://hdl.handle.net/20.500.12328/3914
https://dx.doi.org/10.1097/IAE.0000000000002495
eng
Retina
40;5
© 2024 Ophthalmic Communications Society, Inc.
info:eu-repo/semantics/openAccess
4
Wolters Kluwer