{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T22:36:59Z","timestamp":1790462219381,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,6,8]],"date-time":"2016-06-08T00:00:00Z","timestamp":1465344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the anatomical and functional outcomes of acute\u2010onset endophthalmitis after small\u2010gauge vitrectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective case series of patients who underwent 23\u2010 or 25\u2010gauge vitrectomy at four centres in Sweden between 2008 and 2012. Postvitrectomy endophthalmitis was identified through the search of the journal records of each institution, and the diagnosis was based on clinical criteria regardless of culture results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four patients (24 eyes) were included. The incidence of endophthalmitis following small\u2010gauge vitrectomy was 0.14%. Indications for small\u2010gauge vitrectomy enclosed epiretinal membrane (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a013), retinal detachment (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a05) and others (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a06). Surgical technique included 23\u2010 and 25\u2010gauge vitrectomy (23:1). Four eyes had sutured sclerotomies, and two had postoperative hypotony &lt;7\u00a0mmHg. Days to endophthalmitis presentation varied between 1 and 21 (mean 6\u00a0\u00b1\u00a06). Treatment methods included the following: tap and antibiotic injection (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a07), tap, antibiotic injection with subsequent vitrectomy (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a02) and prompt vitrectomy with antibiotics (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a015). Sixteen eyes (66.7%) were culture positive, whereas the other eight cases were culture negative. Anatomical results included evisceration (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a01), phthisis (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a01), and globe intact (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a022). Presenting best corrected visual acuity (BCVA) were hand motion (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a014), light perception (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a07), counting fingers (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a02), and no data (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a01). Functionally 19 eyes (79%) had Snellen\n                      <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content>\n                      \u22650.1; 11 eyes (46%) had\n                      <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content>\n                      \u22650.5 Mean logMar\n                      <jats:styled-content style=\"fixed-case\">BCVA<\/jats:styled-content>\n                      preoperatively and at the last follow\u2010up were 2.07\u00a0\u00b1\u00a00.6 and 0.79\u00a0\u00b1\u00a00.99, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In spite of good anatomical and functional results, this study showed higher rate of endophthalmitis than the latest reports suggesting that small\u2010gauge vitrectomy has reached the safety level of standard 20\u2010gauge vitrectomy when infectious endophthalmitis is concerned.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.13121","type":"journal-article","created":{"date-parts":[[2016,6,8]],"date-time":"2016-06-08T07:54:33Z","timestamp":1465372473000},"page":"829-835","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Endophthalmitis after small\u2010gauge vitrectomy: a retrospective case series from Sweden"],"prefix":"10.1111","volume":"94","author":[{"given":"Marcin Piotr","family":"Czajka","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Department of Clinical and Experimental Medicine University Hospital Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Byhr","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Sahlgren\u2032s University Hospital Gothenburg 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