2Kahramanmaraş Sütçü İmam Üniversitesi, Acil Anabilimdalı, Kahramanmaraş, Turkey DOI : 10.37845/ret.vit.2025.34.4 Purpose: In this study, we aimed to share our clinical experience and results in patients who have undergone primary PPV surgery with the diagnosis of endophthalmitis.
Methods: Sixteen eyes of 16 patients presented with acute onset of endophthalmitis and had undergone PPV surgery were reviewed retrospectively. Clinical records of the patients including age, sex, best corrected visual acuity (BCVA) at presentation, BCVA achieved postoperatively, time from the onset of complaints to surgical intervention, type of endophthalmitis, microbiologic culture results, type of intraocular tamponade used after PPV surgery, presence of postoperative phthisis, retinal detachment, and other complications, the requirement of a second surgery, and follow-up time were scanned retrospectively.
Results: The mean time from the onset of symptoms to PPV surgery was 45.8 hours (range 27 to 75 hours). Sixteen samples from 16 patients were sent for microbiological analysis. Bacterial pathogens were reported in 7 cases (43.7%), and 9 of 16 samples (56.3%) were negative. Complications after the PPV surgery were as follows: retinal detachment was reported in 3 cases (18.7%), glaucoma was reported in 3 cases (18.7%), cystoid macular edema was reported in a case (6.3%), and macular hole with choroidal neovascular membrane (CNVM) was reported in a case (6.3%). Eight patients out of 16 (50%) had no complications after the PPV surgery.
Conclusions: Based on our results, we can suggest that performing early PPV surgery may be an option for the management of endophthalmitis patients whose initial vision is better than light perception.
Keywords : Endophthalmitis, Pars plana vitrectomy, Endophthalmitis vitrectomy study, Visual acuity, Ocular inflammation