Visual Prognosis of Culture-Proven Bacterial Endophthalmitis.
- Author:
Song Ee CHUNG
1
;
Don Il HAM
Author Information
1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. diham@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Culture;
Endophthalmitis;
Visual prognosis
- MeSH:
Bacteria;
Cataract;
Endophthalmitis*;
Glaucoma;
Humans;
Medical Records;
Prognosis*;
Trabeculectomy;
Triamcinolone;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2006;47(8):1292-1297
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the factors contributing to the visual outcome of patients with culture-proven bacterial endophthalmitis. METHODS: We reviewed medical records of all eyes with infectious endophthalmitis between January 1996 and June 2005. The causative bacteria were identified in 18 of 90 eyes, for which we evaluated their clinical features and factors influencing their visual prognosis. RESULTS: Bacterial endophthalmitis occurred after cataract surgery in 6 of 18 eyes, after trabeculectomy or glaucoma implant surgery in 4 eyes, after trauma in 3 eyes, after intravitreal triamcinolone injection in 1 eye, and after endogenous endophthalmitis in 4 eyes. The culture results were similar between gram positive and gram negative organisms. Final vision was 0.1 or better in 6 of the 18 eyes. Final visual acuities showed statistically significant correlation with causative organisms (p=0.018). CONCLUSIONS: For effective management of bacterial endophthalmitis and prediction of prognosis, we recommend thorough bacterial culture. Also, further investigation with a large population is needed.
