Occurrence and risk factors for RD after PPV in acute postcataract bacterial endophthalmitis
Reviewed by Jonathan Chan

This is a prospective multicentre study from France between March 2004 to December 2011 in four university hospitals; 123 consecutive patients treated with pars planar vitrectomy (PPV) were included in this cohort. The rate of retinal detachment (RD) of post-PPV was 13% (total of 16 eyes) at six months follow-up. The risk factors identified post-PPV RD were diabetes (OR=4.7, p=0.01) and retinal vasculitis on the posterior pole at the time of PPV (OR=3.8, p0.03). Postoperative RD occurred in 56% (n=9) in the first month, 31% (n=5) in the second month and in 6% (n=1) in the third month; 75% (n=12) were macular RD and seven eyes had grade C PVR changes; 60% (n=9/15) achieved reattachment, with one (7/9) or two surgeries (2/9). Final VA was > 20/40 in 19% of cases, compared to 43% in patients without RD (p=0.05) The authors stated limitations of study are timing of PPV surgery, preop VA, media clarity. The presence of retinal vasculitis is a major risk factor and with poor anatomical and functional outcome in spite of updated vitreoretinal techniques.

Occurrence and risk factors for retinal detachment after pars planar vitrectomy in acute postcataract bacterial endophthalmitis.
Chiquet C, Aptel F, Combey-de Lambert A, et al.
BRITISH JOURNAL OF OPHTHALMOLOGY
2016;100:1388-92.