The Role of Silicone Oil in Management of Postoperative Endophthalmitis | ||
| Sohag Medical Journal | ||
| Article 70, Volume 21, Issue 3, October 2017, Pages 575-581 PDF (56.65 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/smj.2017.55055 | ||
| Authors | ||
| Mahmoud M. Farouk; Amr Mounir; Mohammed Elagouz | ||
| Abstract | ||
| Purpose: To evaluate the outcomes of vitrectomy with and without silicone oil injection for the treatment of infectious endophthalmitis after cataract surgery when the retina is severely affected. Methods: This study is aretrospective review of an interventional case series and included 26 eyes of 26 patients who underwent 20-gauge vitrectomy for management of infectious endophthalmitis after cataract surgery. Patients were divided into two groups; group 1 in which vitrectomy was done without silicon oil and group 2 in which vitrectomy was done with silicon oil. All cases were followed for 6 months. Results: In group 1 the mean logMAR visual acuity significantly improved from 2.71 ± 0.05 to 2.09 ± 0.82 (61.5 % improved, 9.5 % didn't change and 28.5 % worsened). In group 2 the mean logMAR visual acuity significantly improved from 2.70 ± 0.07 to 2.04 ± 0.75 (76.9 % improved, 15.3 % didn't change and 7.6 % worsened). Four cases (19 %) suffered from persistence of infection after vitrectomy and 3 cases (14.2 %) had postoperative retinal detachmentin group 1. These complications were not reported in any case of group 2. Conclusion: Silicone oil may be an effective adjunctive to vitrectomy in management of postoperative endopthalmitis with sever retinal affection | ||
| Keywords | ||
| Endophthalmitis; Silicone Oil | ||
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| References | ||
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