Endophthalmitis in microincision vitrectomy: Outcomes of gas-filled eyes

Allen Chiang, Richard S. Kaiser, Robert L. Avery, Pravin U. Dugel, Dean Eliott, Sumit P. Shah, Jeffrey Heier, Jay Duker, Allen Y. Hu, Steven D. Schwartz, Ingrid U. Scott, John S. Pollack, Lisa J. Faia, George A. Williams

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Purpose: To assess whether performing an air or gas exchange at the conclusion of a microincision vitrectomy procedure is beneficial regarding the rate of endophthalmitis. Methods: This was a collaborative, multicenter, retrospective chart review of 2,336 eyes that underwent microincision sutureless vitrectomy (23 or 25 gauge) with either SF6 or C3F8 gas endotamponade for macular hole between January 2008 and December 2009. For all eyes, the search methodology was structured to identify the main outcome measure, which was the occurrence of acute postoperative endophthalmitis (<6 weeks after pars plana vitrectomy). Results: Of the cumulative 2,336 consecutive cases over a 2-year period, only 1 (0.04%) had postoperative endophthalmitis. All eyes had near-complete gas-fluid exchange at the end of surgery; C3F8 was the most common endotamponade agent. The majority of cases were performed with 23-gauge vitrectomy. No other complications were noted. Conclusion: Endophthalmitis was a rare occurrence in this large series of gas-filled eyes after macular hole surgery (0.04%). Gas endotamponade after microincision sutureless vitrectomy may be beneficial in reducing the risk of postoperative endophthalmitis; however, additional studies are necessary to make a definitive recommendation.

Original languageEnglish (US)
Pages (from-to)1513-1517
Number of pages5
JournalRetina
Volume31
Issue number8
DOIs
StatePublished - Sep 1 2011

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Endophthalmitis
Vitrectomy
Endotamponade
Gases
Retinal Perforations
perflutren
Temazepam
Air
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

Chiang, A., Kaiser, R. S., Avery, R. L., Dugel, P. U., Eliott, D., Shah, S. P., ... Williams, G. A. (2011). Endophthalmitis in microincision vitrectomy: Outcomes of gas-filled eyes. Retina, 31(8), 1513-1517. https://doi.org/10.1097/IAE.0b013e3182209290
Chiang, Allen ; Kaiser, Richard S. ; Avery, Robert L. ; Dugel, Pravin U. ; Eliott, Dean ; Shah, Sumit P. ; Heier, Jeffrey ; Duker, Jay ; Hu, Allen Y. ; Schwartz, Steven D. ; Scott, Ingrid U. ; Pollack, John S. ; Faia, Lisa J. ; Williams, George A. / Endophthalmitis in microincision vitrectomy : Outcomes of gas-filled eyes. In: Retina. 2011 ; Vol. 31, No. 8. pp. 1513-1517.
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Chiang, A, Kaiser, RS, Avery, RL, Dugel, PU, Eliott, D, Shah, SP, Heier, J, Duker, J, Hu, AY, Schwartz, SD, Scott, IU, Pollack, JS, Faia, LJ & Williams, GA 2011, 'Endophthalmitis in microincision vitrectomy: Outcomes of gas-filled eyes', Retina, vol. 31, no. 8, pp. 1513-1517. https://doi.org/10.1097/IAE.0b013e3182209290

Endophthalmitis in microincision vitrectomy : Outcomes of gas-filled eyes. / Chiang, Allen; Kaiser, Richard S.; Avery, Robert L.; Dugel, Pravin U.; Eliott, Dean; Shah, Sumit P.; Heier, Jeffrey; Duker, Jay; Hu, Allen Y.; Schwartz, Steven D.; Scott, Ingrid U.; Pollack, John S.; Faia, Lisa J.; Williams, George A.

In: Retina, Vol. 31, No. 8, 01.09.2011, p. 1513-1517.

Research output: Contribution to journalArticle

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AU - Chiang, Allen

AU - Kaiser, Richard S.

AU - Avery, Robert L.

AU - Dugel, Pravin U.

AU - Eliott, Dean

AU - Shah, Sumit P.

AU - Heier, Jeffrey

AU - Duker, Jay

AU - Hu, Allen Y.

AU - Schwartz, Steven D.

AU - Scott, Ingrid U.

AU - Pollack, John S.

AU - Faia, Lisa J.

AU - Williams, George A.

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N2 - Purpose: To assess whether performing an air or gas exchange at the conclusion of a microincision vitrectomy procedure is beneficial regarding the rate of endophthalmitis. Methods: This was a collaborative, multicenter, retrospective chart review of 2,336 eyes that underwent microincision sutureless vitrectomy (23 or 25 gauge) with either SF6 or C3F8 gas endotamponade for macular hole between January 2008 and December 2009. For all eyes, the search methodology was structured to identify the main outcome measure, which was the occurrence of acute postoperative endophthalmitis (<6 weeks after pars plana vitrectomy). Results: Of the cumulative 2,336 consecutive cases over a 2-year period, only 1 (0.04%) had postoperative endophthalmitis. All eyes had near-complete gas-fluid exchange at the end of surgery; C3F8 was the most common endotamponade agent. The majority of cases were performed with 23-gauge vitrectomy. No other complications were noted. Conclusion: Endophthalmitis was a rare occurrence in this large series of gas-filled eyes after macular hole surgery (0.04%). Gas endotamponade after microincision sutureless vitrectomy may be beneficial in reducing the risk of postoperative endophthalmitis; however, additional studies are necessary to make a definitive recommendation.

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Chiang A, Kaiser RS, Avery RL, Dugel PU, Eliott D, Shah SP et al. Endophthalmitis in microincision vitrectomy: Outcomes of gas-filled eyes. Retina. 2011 Sep 1;31(8):1513-1517. https://doi.org/10.1097/IAE.0b013e3182209290