Your browser doesn't support javascript.
loading
Rapid treatment of endophthalmitis with intravitreal antibiotics is associated with better vision outcomes.
Michael, Eugene; Welch, Sarah; Niederer, Rachael L.
Afiliação
  • Michael E; Department of Ophthalmology, Auckland District Health Board, Auckland, New Zealand.
  • Welch S; Department of Ophthalmology, Auckland District Health Board, Auckland, New Zealand.
  • Niederer RL; Department of Ophthalmology, Auckland District Health Board, Auckland, New Zealand.
Clin Exp Ophthalmol ; 51(2): 137-143, 2023 03.
Article em En | MEDLINE | ID: mdl-36309959
BACKGROUND: To discover whether the timing of intravitreal antibiotics, from the time of presentation to injection, affects the visual outcomes of patients with endophthalmitis from all causes. METHODS: A retrospective study of consecutive patients managed at Auckland District Health Board between 1 January 2004 and 1 July 2021. The main outcome measure was final visual acuity at follow-up and the proportion of subjects with severe vision loss (≤6/60). RESULTS: Three hundred and seventy-four eyes were included in the study, with a median age of 69.7 years at presentation; 192 subjects (51.6%) were female. The median presenting visual acuity was hand movements and hypopyon was present in 194 subjects (51.9%). Cataract surgery was the most frequent aetiology in 115 subjects (30.7%), followed by intravitreal anti-vascular endothelial growth factor injections in 89 subjects (23.8%) and endogenous endophthalmitis in 54 subjects (14.4%). Median time to injection of intravitreal antibiotics was 3.5 h (Interquartile range 2-6). On multivariate analysis, early treatment with intravitreal antibiotics was associated with better visual outcome, particularly for those treated within 2 h, while poor presenting visual acuity and culture-positive endophthalmitis were associated with worse outcomes. CONCLUSION: Rapid intravitreal antibiotic administration is associated with better final visual acuity outcomes, particularly for those receiving treatment within 2 h of presentation. Patients with severe vision loss on presentation, benefit the most with improved final visual acuity following expedited treatment.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções Oculares Bacterianas / Endoftalmite Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Clin Exp Ophthalmol Assunto da revista: OFTALMOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Nova Zelândia

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções Oculares Bacterianas / Endoftalmite Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Clin Exp Ophthalmol Assunto da revista: OFTALMOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Nova Zelândia