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Endophthalmitis Caused by

Authors :
Ajay E, Kuriyan
Jayanth, Sridhar
Harry W, Flynn
Laura C, Huang
Nicolas A, Yannuzzi
William E, Smiddy
Janet L, Davis
Thomas A, Albini
Audina M, Berrocal
Darlene, Miller
Source :
Ophthalmology. Retina. 1(3)
Publication Year :
2017

Abstract

To report the clinical features, antibiotic susceptibility profiles, treatment, and visual acuity (VA) outcomes of endophthalmitis caused byRetrospective case series.Patients with endophthalmitis caused byMicrobiology database records were retrospectively reviewed for all patients with endophthalmitis caused bypresenting clinical features, visual acuity outcomes, and antibiotic susceptibility patterns.Of 10 patients identified, clinical settings included post-cataract surgery (n = 6), post-penetrating keratoplasty (n = 2), and post-trabeculectomy (n = 2). The mean time from surgical procedure to presentation with endophthalmitis was 6.8 months (range: 1 day to 28 months). All isolates were vancomycin susceptible. Presenting VA ranged from 7/200 to no light perception. Initial treatment strategies were vitreous tap and intravitreal antibiotic injection (n = 5) and pars plana vitrectomy with intravitreal antibiotic injection (n = 5). VA outcomes were ≥ 20/60 in 5 (50%) of 10 patients and ≤ 20/400 in 5 (50%) of 10 patients.The most common clinical setting was post-cataract surgery. All isolates were susceptible to vancomycin. Despite prompt treatment with appropriate antibiotics, there were variable visual outcomes.

Subjects

Subjects :
Article

Details

ISSN :
24687219
Volume :
1
Issue :
3
Database :
OpenAIRE
Journal :
Ophthalmology. Retina
Accession number :
edsair.pmid..........1913e4f5c2181bbc36100b1fc8eb9ab5