Endophthalmitis after small‐gauge vitrectomy: a retrospective case series from Sweden

Abstract

In spite of good anatomical and functional results, this study showed higher rate of endophthalmitis than the latest reports suggesting that small-gauge vitrectomy has reached the safety level of standard 20-gauge vitrectomy when infectious endophthalmitis is concerned.

The treatment of postoperative endophthalmitis: should we still follow the endophthalmitis vitrectomy study more than two decades after its publication?

“…Smaller incision vitreoretinal surgery with 25-and 27-gauge instrumentation is supposed to reduce the risk of PE as it prevents bacterial migration into the eye during VIT (Czajka et al 2016). Smaller incision vitreoretinal surgery with 25-and 27-gauge instrumentation is supposed to reduce the risk of PE as it prevents bacterial migration into the eye during VIT (Czajka et al 2016).…”

“…As the EVS was published, tremendous progress has been introduced in VIT technology, which now permits the vitreoretinal surgeon to perform surgery more safely and with better outcomes; the burden of surgery on the patient is also dramatically reduced. Smaller incision vitreoretinal surgery with 25-and 27-gauge instrumentation is supposed to reduce the risk of PE as it prevents bacterial migration into the eye during VIT (Czajka et al 2016). In addition to switching to a complete, as opposed to a partial, vitreous removal, along with the moving up of the surgical intervention to as early as possible allows the prevention of complications that would limit the functional improvement postoperatively.…”

Intracameral cefuroxime in combined pars plana vitrectomy and phacoemulsification: a study of safety

“…However, POE is not an inconvenience that could occur only after cataract surgery, but also after every type of intraocular procedure. POE is reported even after pars plana vitrectomy with incidence that ranges from 0.018% to 1.53% in several series 6. The incidence of post vitrectomy endophthalmitis does not depend on the gauge used, and it could end with very poor visual acuity 6,7.…”

“…POE is reported even after pars plana vitrectomy with incidence that ranges from 0.018% to 1.53% in several series 6. The incidence of post vitrectomy endophthalmitis does not depend on the gauge used, and it could end with very poor visual acuity 6,7. Due to these data, prevention of post vitrectomy endophthalmitis was attempted by using subconjunctival antibiotics at the end of surgery 8.…”

Comparison of subconjunctival scarring after microincision vitrectomy surgery using 20‐, 23‐, 25‐ and 27‐gauge systems in rabbits

“…Small‐gauge vitrectomy has been rapidly developed because of the many advantages compared to that with larger gauge vitrectomy, and it has made us to acquire better anatomical and functional results after various retinal diseases(Czajka et al. ). Nagpal et al.…”