Acute-onset postoperative endophthalmitis: review of incidence and visual outcomes (1995-2001).
Ophthalmic Surg Lasers
; 33(5): 373-8, 2002.
Article
em En
| MEDLINE
| ID: mdl-12358290
ABSTRACT
BACKGROUND AND OBJECTIVE:
To determine the incidence rate of acute-onset postoperative endophthalmitis and to assess visual acuity outcomes after treatment from the most recent 7 years (1995-2001) compared with the previous 11 years (1984-1994) among patients undergoing intraocular surgery at the same institution. PATIENTS ANDMETHODS:
The medical records were reviewed of all patients undergoing intraocular surgery at the Bascom Palmer Eye Institute between January 1, 1995 and December 31, 2001.RESULTS:
The 7-year incidence rate of acute-onset postoperative endophthalmitis was 0.05% (17 of 35,916 intraocular surgeries). The number of patients with endophthalmitis (incidence) and their median final visual acuity for each surgical category are as follows cataract extraction 8/21,972 (0.04%) - 20/100; glaucoma surgery 4/1,970 (0.2%) - 20/70; penetrating keratoplasty 2/2,362 (0.08%) - light perception; pars plana vitrectomy 2/7,429 (0.03%) - hand movements; secondary intraocular lens placement 1/485 (0.2%) - 20/40. Of the 8 cases of endophthalmitis after cataract surgery, 6 cases occurred after phacoemulsification and 2 of these cases had a dear corneal sutureless incision.CONCLUSION:
The most recent 7-year incidence rate of acute-onset postoperative endophthalmitis is significantly lower than that of the previous 11 years (0.05% versus 0.09%; = 0.031) at the same institution. Visual acuity outcomes after treatment were generally better in cataract surgery, glaucoma surgery, and secondary intraocular lens categories compared to pars plana vitrectomy and penetrating keratoplasty categories.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Acuidade Visual
/
Infecções Oculares Bacterianas
/
Endoftalmite
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article