Authors: Humeyra Karacal Steven M Kymes Rajendra S Apte
Publish Date: 2007/04/17
Volume: 27, Issue: 4, Pages: 251-259
Abstract
A total of 67 patients were diagnosed with endophthalmitis The most common cause was postoperative endopthalmitis after cataract surgery Initial management was vitreous needle biopsy with intravitreal antimicrobial injection in a majority of cases 79 Vitreous cultures were positive in 32 eyes 444 the most common isolate was coagulase negative Staphylococci Final visual acuity was improved in 61 of patients More than a third 38 had vision worse than count fingers Twentyeight eyes 39 needed pars plana vitrectomy for secondary complications as a consequence of endophthalmitisCataract surgery remains the most common cause of endophthalmitis in this large tertiary referral retina center Endophthalmitis resolved with vitreous needle biopsy and intravitreal injections in more than half of the cases However more than a third of patients required additional vitreoretinal surgery for secondary complications More than a third of patients had nonfunctional vision after the resolution of endophthalmitis which highlights the severity of this condition in the current expanding era of officebased intravitreal pharmacotherapy for retinal diseases
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