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Impressum
Capsular bag lavage as minimally invasive procedure for postoperative infectious low-grade endophthalmitis
Hugger P., Jonas J. B.
Universitäts-Augenklinik der Fakultät für Klinische Medizin Mannheim der Universität Heidelberg
Objective: To investigate the results of a minimally invasive
surgical treatment for subacute and chronic postoperative infectious low-grade
endophthalmitis.
Methods: 8 patients presented between three days and 13 months
after unevenrful cataract surgery with clinical signs of low-grade endophthalmitis
and deteriorating visual acuity. After unsuccessful topical and systemic
antibiotic treatment, the capsular bag was irrigated with an antibiotica
enriched intraocular solution. Postoperatively the topical antibiotic
treatment was continued until the intraocular inflammation subsided. Follow-up
ranged from 5 months to 2 years.
Results: The intraocular inflammation resolved in all patients,
and the visual acuity improved on an average by 6 ± 4 lines.
Conclusions: Capsular bag lavage is a minimally invasive surgical
technique for postoperative infectious low-grade endophthalmitis. It can
be performed under topical anesthesia in an out-patient setting. Depending
on the clinical situation, lens capsular bag lavage may be used as first
line treatment before more invasive strategies such as pars plana vitrectomy
with removal of the intraocular lens and capsular bag are performed.