Posterior vitreous wick syndrome: a potential cause of endophthalmitis following vitreo-retinal surgery.

Abstract:

:Endophthalmitis following pars-plana procedures such as a vitrectomy vitreo-retinal procedures has been infrequently reported in literature. The cited incidence is about 0.1% to 0.2%. In the 8 cases of endophthalmitis that have been reported in literature, the prognosis has been indicated as very poor due to a delay in diagnosis (1-3). Also, no possible source of an inoculum of the pathogenic organism reaching the vitreous cavity has been considered in these reports. We have encountered a few cases of endophthalmitis following vitreo-retinal surgeries at our tertiary eye care centre. Here again not being able to identify the possible source of infectious spread, we now report for the first time in literature, a new entity, the 'posterior vitreous wick syndrome'. This potential source of infectious spread, to the best of our knowledge, has not been considered earlier. We describe the patho-mechanism of the 'posterior vitreous wick syndrome' and also suggest methods of reducing its occurrence during vitreo-retinal procedures. This could also be the patho-mechanism of endophthalmitis following inadvertent loss of scleral integrity during extraocular surgeries like retinal detachment surgery and strabismus surgery (4,5).

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Venkatesh P,Verma L,Tewari H

doi

10.1054/mehy.2001.1490

keywords:

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

513-5

issue

6

eissn

0306-9877

issn

1532-2777

pii

S0306987701914902

journal_volume

58

pub_type

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