Programm                 "Degeneration und Regeneration– Grundlagen, Diagnostik und Therapie"


Hotelbuchung
   Hotel Registration
Grußwort
   Welcome address
Beteiligte Gesellschaften
   Societies involved
DOG Information
   DOG Information
Eröffnung des Kongresses
   Opening Ceremony
Preise
   Awards
Ablauf der Tagung 2003
   General overview of congress
Lageplan der Räumlichkeiten
   Map of Congress Center
Wissenschaftliche Themen
   Scientific topics
Symposien
   Symposia
Wissenschaftliches Programm
   Scientific program
Posterpräsentationen
   Poster Presentation
Kurse
   Courses
Begleitende Veranstaltungen
   Accompanying program
Arbeitssitzungen
   Working sessions
Rahmenprogramm
   Social program
Allgemeine Informationen
   General Information
Autorenindex
   Index of Authors
Industrieaussteller
   Commercial exhibitors
Sponsoren
   Sponsors
Impressum



DOG Homepage


Abstract
Abstract

On the Choice of the Pars-plana Vitrectomy in the Treatment of Endogenous Endophthalmitis

Schrader W. F., Dancker K., Marquardt D.
Universitäts-Augenklinik, Würzburg

Purpose: Endogenous mycotic endophthalmitis as the underlying cause for a prolonged posterior uveitis is still underestimated. Due to delayed diagnosis the functional aoutcome may be impaired. We analyzed retrospectively the role of pars plana vitrectomy in the successful treatment of these cases.
Method: 38 eyes were treated for endogenous endophthalmitis between 1987 and 2003. These cases were retrospectively analyzed for the etiology, microbial results, antibiogram, treatment and functional out-come. Important sequences of the surgical procedure are shown in detail.
Results: 5 of 38 eyes with endogenous infection were caused by bacteria, 33 by candida albicans. The patients only regained reading ability, when a pars plana vitrectomy was performed within 4 weeks after onset of symptoms or after known sepsis. When vitrectomy was performed later or when a systemic therapy was performed alone, functional results were less favourable.
Conclusions: Adequate timing of vitrectomy is of major influence on the functional outcome, even if the course of the endogenous endophthalmits is prolonged as compared to most cases of postoperative endophthalmitis.


Zurück | Back