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Incidence of endophthalmitis after 23-gauge pars plana vitrectomy

Overview of attention for article published in BMC Ophthalmology, January 2018
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Title
Incidence of endophthalmitis after 23-gauge pars plana vitrectomy
Published in
BMC Ophthalmology, January 2018
DOI 10.1186/s12886-018-0678-5
Pubmed ID
Authors

Zhong Lin, Xiaofen Feng, Liya Zheng, Nived Moonasar, Lijun Shen, Ronghan Wu, Feng Chen

Abstract

Endophthalmitis is a rare but severe complication following PPV. The incidence of endophthalmitis varies between 20-gauge, 23-gauge, and 25-gauge incisions. The incidence and clinical features of endophthalmitis after 23-gauge PPV in an eye hospital in China was reported in this study. Data of the eyes that underwent 23-gauge PPV from January 2011 to December 2014 at the Eye Hospital of Wenzhou Medical University was retrospectively collected. All the information was obtained from the electronic medical system. The exclusion criteria included: (1) preoperative diagnosis of endophthalmitis; (2) history of vitrectomy; (3) intraocular surgery within 6 months; (4) history of ocular penetrating trauma; (5) sutures for any of the 3 sclerotomy incisions; (6) patients with cancer, acquired immune deficiency syndrome, or taking drugs that may influence the immune system. The diagnosis of endophthalmitis was based on clinical characteristics and/or culture results from an operative sample. Three thousand nine hundred seventy nine eyes that underwent 23-gauge PPV surgery were included in this study. Among these eyes, 3 eyes developed endophthalmitis after surgery, giving an incidence of 0.075% (3/3979). The period in which endophthalmitis developed ranged from 1 to 5 days post-operation. The visual acuity decreased to hand motions or light perception postoperatively. The culture of aqueous and vitreous of the 2 eyes revealed Staphylococcus epidermidis and enterococcus faecalis respectively, however was negative for the third eye. All 3 eyes had a favorable response to the treatment of vitreous tap and intravitreal antibiotics injection. Two eyes gained visual acuity of 0.05 and 0.5, respectively at the final visit. Endophthalmitis is a rare but sight-threatening complication after 23-gauge pars plana vitrectomy. The peak duration of onset was within 5 days post-operation, with gram positive cocci being the common pathogenic organism.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 41 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 17%
Student > Master 5 12%
Researcher 5 12%
Student > Doctoral Student 4 10%
Other 3 7%
Other 3 7%
Unknown 14 34%
Readers by discipline Count As %
Medicine and Dentistry 19 46%
Nursing and Health Professions 2 5%
Biochemistry, Genetics and Molecular Biology 1 2%
Veterinary Science and Veterinary Medicine 1 2%
Social Sciences 1 2%
Other 3 7%
Unknown 14 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 January 2018.
All research outputs
#18,584,192
of 23,018,998 outputs
Outputs from BMC Ophthalmology
#1,571
of 2,401 outputs
Outputs of similar age
#330,243
of 441,019 outputs
Outputs of similar age from BMC Ophthalmology
#31
of 43 outputs
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