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- Title
Late surgical complications to endophthalmitis after cataract surgery in the post-EVS era.
- Authors
Solborg Bjerrum, Søren; Kiilgaard, Jens; Cour, Morten
- Abstract
Background: To compare the risk of surgical complications after primary surgical intervention for postoperative endophthalmitis after cataract surgery (PE) in cases that underwent a pars plana vitrectomy (PPV) or a vitreous tap (VT) in Denmark in the calendar period 1 January 2000 to 30 June 2011. Methods: Retrospective, register- and chart-based study. Results: A total of 121 PE cases were identified and followed up to 12.8 years. The overall risk of surgical complications in PE cases that underwent a PPV and a VT was 24.2 and 36.7 %, respectively. This difference was non-statistically significant ( p = 0.18). In all, 9.9 % of the PE cases had more than one surgical complication, and 97 % of the primary surgical complications occurred within the first 5 months. There was no statistically significant difference in the risk of retinal detachment ( p = 0.45), surgery for PE ( p = 0.22), intraocular lens removal ( p = 0.19), or removal of the eye ( p = 0.69) between the two groups. PE cases that underwent a VT had a statistically significantly higher risk of surgery for vitreous opacities ( p = 0.047) compared to a PPV. Conclusions: In all, 27.3 % of all cases developed a surgical complication after primary surgical intervention for PE. If a PE case did not have a surgical complication within the first 5 months, it was highly unlikely that a new surgical complication would occur. A VT was not associated with a statistically significantly higher overall risk of surgical complications compared to a PPV.
- Subjects
CRYSTALLINE lens diseases; CATARACT surgery; RETINAL vein; OPTOMETRY; OPHTHALMOLOGY; VISUAL accommodation; EYE diseases; PRACTICE of optometry
- Publication
Graefe's Archive of Clinical & Experimental Ophthalmology, 2015, Vol 253, Issue 8, p1255
- ISSN
0721-832X
- Publication type
Article
- DOI
10.1007/s00417-014-2820-2