Vitrectomy Using 0.025%Povidone-Iodine Irrigation For Treating Post-Traumatic Endophthalmitis Due To Intraocular Foreign Bodies:Two Case Reports

To explore the efficacy and safety of 0.025% povidone-iodine(PI) treatment and hoped to introduce the bactericidal effect of 0.025% povidone-iodine in balanced salt solution PLUS (0.025% PI-BSS PLUS) and its use in vitrectomy for traumatic endophthalmitis.

Traumatic eye injury-related endophthalmitis is a serious traumatic complication that threatens the vision of many patients worldwide.The 0.025% PI-BSS PLUS solution is bactericidal and nontoxic when used as an irrigation solution in pars plana vitrectomy. The two cases of traumatic endophthalmitis were resolved by pars plana vitrectomy using 0.025% PI-BSS PLUS.

To report the therapy of intravitreal injection(IVI) of 1.25% PI followed by a complete pars plana vitrectomy combined with irrigation of 0.025% PI to treat traumatic endophthalmitis.

Six months later,the eye of the first patient was quiet,and no obvious tears,holes,or detachment was seen in the retina.The patient's vision remained 0.7 and was happy.In the second eye,six months later,the retina of his eye remained attached with slight fibrous proliferation and his vision improved to 0.1.The visual acuity impairments of this case might be due to damage to the retina and corneal laceration.

We postulated that IVI of 1.25% PI followed by vitrectomy using 0.025% PI irrigation for treating endophthalmitis with traumatic foreign bodies could be considered an optimal initial treatment for traumatic endophthalmitis and may be useful from the viewpoint of maintaining the disease.