Incidence and outcome of endophthalmitis over a 13-year period.
Can J Ophthalmol
; 44(1): 88-94, 2009 Feb.
Article
em En
| MEDLINE
| ID: mdl-19169320
ABSTRACT
OBJECTIVE:
The aim of the study was to assess the functional results and long-term visual prognosis in patients treated for acute endophthalmitis (AE).DESIGN:
Observational clinical series.PARTICIPANTS:
Evaluation of 120 eyes of 114 patients with AE treated between 1991 and 2004.METHODS:
This retrospective institutional analysis included 120 eyes of 114 patients (52 male, 68 female) with AE and a minimum follow-up of half a year. The patients had a mean follow-up of 23 months (6-135 months) and a mean age of 61 years (8 months-94 years) at the time of treatment. Treatment included intraocular injection of antibiotics alone (n = 18, 15%) and vitrectomy combined with intraocular and topical postoperative antibiotics (n = 85, 70%).RESULTS:
The most frequent complications were vitreous or retinal hemorrhages (n = 17, 14%), retinal detachment (n = 17, 14%), choroidal detachment (n = 3, 3%), secondary glaucoma (n = 7, 6%), and recurrent endophthalmitis (n = 3, 3%). Four eyes had to be enucleated because of recurrent and uncontrollable infection. Positive microbiological results were achieved in 67 of 88 specimens (76%). The most common isolate was Staphylococcus. At the end of follow-up, visual acuity was reduced (more than 2 lines) in 18 eyes (15%), stable in 22 (18%), and improved (more than 2 lines) in 72 eyes (60%).CONCLUSIONS:
AE is a rare but severe disease with a potentially deleterious outcome in affected eyes. In our series, 78% of all eyes had stable or improved postoperative visual acuity following various treatment regimens, depending on the severity of each case.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Infecções Oculares
/
Endoftalmite
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Child, preschool
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Female
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Humans
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Infant
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Can J Ophthalmol
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Alemanha