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Revista Cubana de Oftalmología

versão impressa ISSN 0864-2176versão On-line ISSN 1561-3070

Resumo

HERNANDEZ MARTINEZ, Rocío; RAMOS LOPEZ, Meisy  e  VELAZQUEZ VILLARES, Yolanda. 23-G pars plana vitrectomy in the acute endophthalmitis after cataract surgery. Rev Cubana Oftalmol [online]. 2017, vol.30, n.1. ISSN 0864-2176.

The endoftalmitis is a strange but devastating complication that can be presented after a waterfall surgery. Their incidence is reported in 0.04 %-0.41 % of the cases. The diagnosis is clinical, sustained by the cultivation of the flowing intraoculares. The general therapy is based on the vitreous biopsy, the administration of antibiotic intravítreos, and the realization or not of the vitrectomía plane pars (VPP). THE good handling in these cases with postoperative endoftalmitis after a facoemulsificación depends on the medical training, the prevention, the early diagnosis and active and immediate therapies of treatment. A 65 year-old patient is presented that at the 72 hours of the facoemulsificación in left eye, you/he/she begins with pain, decrease of the vision, inflammatory membrane in previous camera, hipopión and vitreous opacity that don't allow to see eye bottom. You diagnóstica sharp endoftalmitis and he/she decides immediately taking of sample, vitrectomía temprarna and intravítrea of antibiotics. A month the visual sharpness was of 90 var without other complications.

Palavras-chave : endoftalmitis; vitrectomía plane pars; facoemulsificación.

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