The Role of Pars Plana Vitrectomy in the Treatment of Fungal Endogenous Endophthalmitis


SCIENTIFIC POSTER

The Role of Pars Plana Vitrectomy in the Treatment of Fungal Endogenous Endophthalmitis by Hande Celiker, Haluk Kazokoglu, Turkey


ABSTRACT

Purpose:

To review the therapeutic role of pars plana vitrectomy (PPV) in fungal endogenous endophthalmitis.

Methods:

Seven eyes of six cases were identified as fungal endogenous endophthalmitis through positive cultures of ocular fluids and clinical presentations. The final anatomical and functional results were evaluated.

Results:

Four women (66.7%) and two men (33.3%) underwent vitrectomy. Control of infection was achieved in six cases at early period. Candida Species (71.4%) and Aspergillus (28.6%) were identified as causative fungi in patients with fungal endogenous endophthalmitis. Two patients were reoperated due to reinfection and retinal detachment, respectively .Visual acuity improved in 6 eyes (85.7%), and worsened in 1 eye (14.3%). At the final examination, the retina was flat in all cases. No eye developed phthisis bulbi.

Conclusions:

PPV in fungal endogenous endophthalmitis may enhance the treatment of infection by removing fungal elements in the vitreous, and aid in diagnosis. Vitrectomy also may an important tool in the management of vision-threatening post-infectious sequelae like retinal detachment and reinfections.


CONTACT DETAILS

Hande Celiker
Istanbul, Turkey
Email : drhandeceliker@yahoo.com
Cell Phone: +905321577740
Work Phone: +902166254545