Endophthalmitis following 27-Gauge Pars Plana Vitrectomy for Vitreous Floaters

Case Rep Ophthalmol. 2016 Nov 25;7(3):245-250. doi: 10.1159/000452733. eCollection 2016 Sep-Dec.

Abstract

Purpose: To report a case of Staphylococcus epidermidis endophthalmitis following 27-gauge pars plana vitrectomy for symptomatic vitreous floaters.

Methods: The clinical course and imaging findings, including fundus optomap, and spectral domain optical coherence tomography of a 24-year-old male patient were documented.

Results: The patient, with a preoperative best-corrected visual acuity (BCVA) of 1.0, developed endophthalmitis following 27-gauge pars plana vitrectomy for symptomatic vitreous floaters. After a series of treatments, including emergent vitreous tap and silicone oil injection, antibiotic treatment, and silicone oil removal, the patient regained a BCVA of 0.6.

Conclusion: Although rare, the potential risk of endophthalmitis should be explicitly discussed with patients considering surgical intervention for vitreous floaters.

Keywords: 27-gauge pars plana vitrectomy; Endophthalmitis; Vitreous floaters.

Publication types

  • Case Reports