Endophthalmitis Vitrectomy Study: Effectiveness of Guidelines in Cases of Endophthalmitis Following Manual Small Incision Cataract Surgery

Objective: To validate Endophthalmitis vitrectomy study guidelines in cases of post-operative endophthalmitis following Manual small incision cataract surgery. Setting: Tertiary eye care centre in western central India Participants: 36 eyes with endophthalmitis following Manual small incision cataract surgery. Methods: We enrolled all post cataract endophthalmitis patients following manual small incision cataract surgery with specific inclusion and exclusion criteria. Treatment planned according to severity as in Endophthalmitis vitrectomy study, all eyes are given intra vitrealvancomycine+ceftazidim injection using standard protocol and dosages. Patients who have visual acuity more than hand motion were treated only with intravitreal injections and patients who had only perception of light undergone vitrectomy. Patients who were not ready for surgical intervention excluded from analyses of visual outcome. Patients were followed up according to standard schedule and protocol. Results: Our cohort consisted of total 36 cases of acute post-operative endophthalmitis following manual small incision cataract surgery within six weeks. Our cohort consisted of 20(55.6%) male 16(44.4%) female;the age range was 44 - 85 years with mean age of 56.9 +/- 19.5 years. The mean duration of presentation and duration following cataract surgery was 6.7 +/- 8.1 days and 7.1 +/- 10.9 days respectively. Visual outcome 11 eyes (42.3%) regained vision more than 20/40 and 15 eyes (57.7%) regained more than 20/60, 20 eyes(76.9%) regained more than 20/200 and 23 eyes (88.4%) regained more than 20/400 Conclusion: Results and recommendations of Endophthalmitis Vitrectomy Study are very effective and useful in treatment post cataract surgery endophthalmitis by manual small incision cataract surgery.