Postop endophthalmitis rate comparable for 20- and 25-gauge vitrectomy

This retrospective series included 1,948 cases of sutured 20-gauge pars plana vitrectomy (PPV) and 1,424 cases of sutureless 25-gauge PPV. At one-year follow-up, endothalmitis rates were similar. The authors believe their anti-infection protocol – povidone–iodine applied to the ocular surface and fornices before surgery. Injections of both subconjunctival antibiotic over each sclerotomy site and steroids after surgery – may have reduced the endophthalmitis risk of 25-gauge surgery. Ophthalmology, July 2009


Dr Sarbjit Singh
EYE FOR EXCELLENCE
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