Comparative Study of Microbiological Profile and Management Outcomes of Acute Endophthalmitis after Microincision Vitrectomy Surgery versus Intravitreal Injections.
Purpose: The aim of this study was to evaluate and compare incidence and outcomes of management of acute endophthalmitis after microincision vitrectomy surgery (MIVS) and intravitreal injections (IVIs).Methods: Medical records were retrospectively reviewed from January 2012 to December 2017, and the incidence, clinical and microbiological profiles of acute endophthalmitis were documented.Results: Of 26,332 MIVS and 24,143 IVI performed, incidence of acute endophthalmitis in MIVS group was 0.027% (1 in 3761 cases) against 0.054% (1 in 1857 cases) in IVI. Gram-positive organisms were causative in post IVI group as against gram-negative organisms in MIVS group.Conclusion: Incidence of endophthalmitis after IVI is almost twice that after MIVS. A trend toward poorer outcomes in MIVS eyes was observed. Both MIVS and IVI being pars plana procedures warrant similar kind of aseptic precautions.
['Kannan|Naresh Babu|NB|https://orcid.org/0000-0002-3993-9790', 'Sen|Sagnik|S|https://orcid.org/0000-0001-5835-5371', 'Mishra|Chitaranjan|C|https://orcid.org/0000-0002-4874-563X', 'Lalitha|Prajna|P|', 'Rameshkumar|Gunasekaran|G|', 'Rajan|Renu P|RP|', 'Arumugam|Karthik Kumar|KK|', 'Ramasamy|Kim|K|']
Endophthalmitis intravitreal injection MIVS IVI pars plana vitrectomy