Long-term efficacy after conjunctival seamless 25G vitrectomy Objective: To report the long-term effects of patients undergoing conjunctival seamless 25G vitrectomy (TSV). Design: A retrospective, uncontrolled case series study. METHODS: The questionnaire reviewed 45 consecutive patients (45 eyes) who underwent TSV surgery with the same surgeon (TSH), including 15 cases of idiopathic retinal anterior membrane and 10 cases of idiopathic macular hole, refractory diabetes. 11 cases of macular edema and 9 cases of unexplained vitreous hemorrhage. All patients were followed for at least 6 months. The main indicators included visual acuity (VA), intraocular pressure, intraoperative and postoperative complications. RESULTS: The mean follow-up was 13 months (625 months). All patients had a significant improvement in VA before and after surgery in the final World Core Medical Journal Digestive Ophthalmology. The average intraocular pressure before surgery was 16.9 mmHg (10.26 mmHg). The average intraocular endogenous 1day, 1 week, and 4 weeks postoperative complications included 1 case of retinal detachment at 4 weeks after macular hole repair (2.25) and 6 months after retinal anterior membrane stripping. Case (2.25), and 29 cases of cataract progression after phacoemulsification (79.35). Conclusion: Uncomplicated vitreoretinal surgical lesions can be successfully repaired by TSV. After more than one year of follow-up, complications were rare and had no specific relationship with intraoperative sutures.
Clinical microbiological study of Nocardia endophthalmitis after cataract surgeryObjective: To analyze the clinical manifestations, microbiological characteristics and therapeutic effects of patients with Nocardia endophthalmitis after cataract surgery. Design: A retrospective, observational case series study. Method: Research institution: tertiary hospital. PARTICIPANTS: A retrospective analysis of 24 patients with exogenous Nocardia endophthalmitis after cataract surgery confirmed between January 2000 and December 2003 was performed. MAIN OUTCOME MEASURES: Vision and anatomical prognosis. RESULTS: Most patients had poor visual prognosis. Patients with 795 (19/24) had a final visual acuity of either manual or worse, and 465 patients (11/24) had no light perception. Initial visual acuity was closely related to the final visual prognosis (P = 0.0026). Patients who presented early after the onset of symptoms benefited a better visual outcome and were statistically significant (P = 0.01). The vast majority of affected eyes (23/24) had early manifestations of anterior segment of the eye, and 465 patients (11/24) had significant wound infections at the time of presentation. Clinical features include scleral abscess, cotton-like exudation in the anterior chamber, corneal endothelial villus-like exudation, iris nodular exudation, and anterior chamber empyema. Among the cultured specimens, the specimens taken from the anterior chamber had the highest positive rate (15/16 2393.755), which was significantly higher than the specimens extracted from the vitreous (1/22 234.545) (P=0.001). Conclusion: Nocardial endophthalmitis after cataract surgery is an invasive disease with poor visual prognosis. Early diagnosis and treatment with good visual acuity may result in better vision results.
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