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

Abstract

Conducted in the early 1990s Endophthalmitis Vitrectomy Study (EVS) have helped in establishing reasonable guidelines for the management of infectious postoperative endophthalmitis. However at present, more than 20 years after its publication, tremendous progress has been introduced in vitrectomy technology, which now permits the vitreoretinal surgeon to perform surgery more safely, and with better outcomes. Moerover, performing a complete 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. Thus, it is now highly needed to re-evaluate the conclusions of the EVS study.

• Authors: Andrzej Grzybowski, Magdalena Turczynowska, Ferenc Kuhn
• Journal: Acta ophthalmologica (Acta Ophthalmol) Vol. 96 Issue 5 Pg. e651-e654 (Aug 2018) ISSN: 1755-3768 [Electronic] England
• PMID: 29197165 (Publication Type: Journal Article, Review)
• Copyright: © 2017 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Topics

• Cataract Extraction (adverse effects)
• Endophthalmitis (surgery)
• Follow-Up Studies
• Humans
• Periodicals as Topic
• Reoperation
• Surgical Wound Infection (surgery)
• Time Factors
• Treatment Outcome
• Vitrectomy (methods)