Factors influencing treatment results in pseudophakic endophthalmitis

Factors influencing treatment results in pseudophakic endophthalmitis

To evaluate risk factors, therapeutic approaches and factors associated with the poor visual outcome in pseudophakic endophthalmitis. Data related to 28 cases with the diagnosis of endophthalmitis after cataract surgery and IOL implantation were gathered retrospectively. Preceding surgery was extrac...

Full description

Saved in:
Bibliographic Details
Published in:European journal of ophthalmology Vol. 12; no. 1; pp. 34 - 39
Main Authors: KOC, F, SEN, E, DEMIRBAY, P, TASKINTUNA, I, TEKE, M. Y, ÖZDAL, P, ORTAC, S, ÖZ, Ö, TARKAN, F, FIRAT, E
Format: Journal Article
Language:English
Published: Milano Wichtig 2002
Subjects:
Aged
Anti-Bacterial Agents - therapeutic use
Aqueous Humor - microbiology
Bacteria - isolation & purification
Biological and medical sciences
Endophthalmitis - microbiology
Endophthalmitis - therapy
Eye Evisceration
Eye Infections, Bacterial - microbiology
Eye Infections, Bacterial - therapy
Female
Humans
Lens Implantation, Intraocular
Male
Medical sciences
Middle Aged
Phacoemulsification
Pseudophakia - microbiology
Pseudophakia - therapy
Retrospective Studies
Risk Factors
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Treatment Outcome
Visual Acuity
Vitrectomy
Vitreous Body - microbiology
Human
Postoperative
Cataract
Iatrogenic
Prognosis
Visual acuity
Uvea disease
Phacoemulsification
Extracapsular
Eye disease
Lens disease
Treatment
Surgery
Risk factor
Complication
Lens
Extraction
Predictive factor
Endophtalmitis
Anterior segment disease
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To evaluate risk factors, therapeutic approaches and factors associated with the poor visual outcome in pseudophakic endophthalmitis. Data related to 28 cases with the diagnosis of endophthalmitis after cataract surgery and IOL implantation were gathered retrospectively. Preceding surgery was extracapsular cataract extraction (ECCE) in 18, phacoemulsification in 8 and scleral fixated intraocular lens implantation in two cases. Posterior capsule rupture and diabetes mellitus were considered to contribute to the development of endophthalmitis because of their high incidences (50% and 25%) in the study group. Microbiological studies from aqueous and vitreous humour were done in 85% of the cases and 58% were positive. S. Epidermidis was the most common organism, accounting for 50% of the isolates. All cases were given topical and systemic antibiotics. Inflammation was controlled by addition of subconjunctival antibiotics to this regimen in two, intravitreal antibiotic injection in 14, pars plana vitrectomy, total capsular and lens extraction and intravitreal antibiotic injection in three, lens exchange, intracapsular and intravitreal antibiotic injection in three cases. Six (21%) cases eventually needed evisceration. Visual acuity of 20/40 or better was achieved in 25%, and 20/100 or better in 64%. Treatment delay (p=0.039), capsular rupture complicating cataract surgery, especially with extracapsular cataract extraction (p=0.015), and initial visual acuity worse than hand motion (p=0.003) were strong predictors of poor visual outcome. The risk of endophthalmitis was not different forplanned ECCCE (0.26%) andphacoemulsification (0.27%) but the prognosis was better with the latter.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1120-6721
1724-6016
DOI:10.1177/112067210201200107