Outcome of 23-gauge sutureless transconjunctival vitrectomy for endophthalmitis

Eye (Lond). 2008 Jan;22(1):150-1. doi: 10.1038/sj.eye.6702987. Epub 2007 Oct 26.


Purpose: To review the outcomes of 23-gauge transconjunctival vitrectomy in patients with postoperative endophthalmitis.

Methods: Non-randomized, interventional case series of patients with postoperative endophthalmitis over a 1-year period.

Results: 23-gauge transconjunctival vitrectomy was performed on 6 patients with a mean age of 67.7 years without intraoperative or postoperative complications. There were no cases of postoperative hypotony or wound leak. The mean change in IOP was -4.2 mmHg compared to the preoperative IOP (P=0.239). Final VA improved significantly compared to preoperative VA (P=0.062), with VA of at least 20/40 in 5 of 6 patients (83.3%).

Conclusions: 23-gauge transconjunctival vitrectomy is a useful technique for treating postoperative endophthalmitis.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Endophthalmitis / etiology
  • Endophthalmitis / microbiology
  • Endophthalmitis / surgery*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Suture Techniques
  • Visual Acuity / physiology*
  • Vitrectomy / adverse effects
  • Vitrectomy / methods*
  • Vitreous Body / surgery*