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Date Published: 16/03/2026
Abstract Views: 65
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DOI: https://doi.org/10.51298/vmj.v560i1.17793
Issue
Vol. 560 No. 1 (2026)
Section
Các bài báo
How to Cite
Hứa, A. Đức, Ngô, T. T., Lê, N. M., Đào, N. Q. H., & Võ , T. H. L. (2026). EFFECTIVENESS OF COMPLETE AND EARLY VITRECTOMY FOR ACUTE POST-CATARACT ENDOPHTHALMITISVMNN. Vietnam Medical Journal, 560(1). https://doi.org/10.51298/vmj.v560i1.17793

EFFECTIVENESS OF COMPLETE AND EARLY VITRECTOMY FOR ACUTE POST-CATARACT ENDOPHTHALMITISVMNN

Anh Đức Hứa, Thanh Tùng Ngô, Nhật Minh Lê, Nguyễn Quỳnh Hương Đào, Thi Hoàng Lan Võ

Main Article Content

Abstract

Purpose: To evaluate the efficacy and safety of complete and early vitrectomy for endophthalmitis (CEVE) in acute post-cataract endophthalmitis (APCE) and to identify predictors of treatment outcome. Methods: Uncontrolled clinical intervention conducted at Ho Chi Minh City Eye Hospital (Jan–Aug 2022). Thirty eyes from 30 patients with APCE ≤ 6 weeks after PHACO and visual acuity (VA) ≥ light perception but no red reflex underwent CEVE within 24 h of admission. LogMAR VA and vitreous haze (EVS scale) were assessed pre-operatively and at 1 week, 1 month and 3 months. Results: Mean age 60,7 ± 11,3 years; 73,3% male. Mean logMAR VA improved from 2,38 ± 0,16 to 0,63 ± 0,64 at 3 months (p < 0,0001); 66,7% achieved VA ≥ 0,5 and 76,7% VA ≥ 0,1. Vitreous haze improved to grade ≤ 2 in 90,0% of eyes. Overall (anatomic + functional) success was 76,7%. Positive culture rate 66,7%: coagulase-negative Staphylococcus 56,7%; Gram-negative 6,7%. Complications: macular pathology 20%, retinal detachment 6,7%, iris neovascularisation 3,3%. Shorter interval PHACO-symptom (p = 0,021) and poorer baseline VA (p = 0,035) predicted better outcomes. Conclusions: CEVE provides high anatomical and functional success with low complication rates in APCE. Early intervention and baseline vision are key determinants of prognosis.

Article Details

Keywords

Endophthalmitis; Early Complete Vitrectomy; Cataract Surgery; PHACO.

References

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