Endophthalmitis following cataract surgery: visual outcomes, microbial spectrum and complications.

Autor: Levin HJ; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania., Mehta MS; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania.; Department of Ophthalmology, Emory University, Atlanta, Georgia., Storey PP; Austin Retina Associates, University of Texas Dell Medical School, Austin, Texas, USA., Patel SN; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania., Kuley B; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania., Wibbelsman TD; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania., Obeid A; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania., Garg S; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania., Vander J; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania., Dunn JP; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania., Ho AC; Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, Pennsylvania.
Jazyk: angličtina
Zdroj: Current opinion in ophthalmology [Curr Opin Ophthalmol] 2023 May 01; Vol. 34 (3), pp. 237-242. Date of Electronic Publication: 2023 Mar 20.
DOI: 10.1097/ICU.0000000000000951
Abstrakt: Purpose of Review: The aim of this study was to update visual outcomes, microbial spectrum and complications in eyes with endophthalmitis following cataract surgery.
Recent Findings: A single-institution, retrospective review of eyes treated for endophthalmitis following cataract surgery between 2 January 2014 and 10 January 2017. This study included 112 cases of endophthalmitis following cataract surgery, 58 of which were culture-positive (51.8%). The most isolated organisms were coagulase-negative Staphylococci (56.9%). Oral flora were present in 17.2% of cases. At 6 months, 71.7% of patients achieved visual acuity of at least 20/200 and 51.7% achieved at least 20/40 or better. Visual acuity was better in culture-negative vs. culture-positive cases (∼20/290 vs. ∼20/80, P   =  0.03), and in nonoral flora-associated vs. oral flora-associated culture-positive cases (∼CF vs. ∼20/150, P   <  0.01).
Summary: Following postcataract surgery endophthalmitis, approximately 70% of eyes achieved vision of 20/200 or better and half achieved vision of 20/40 or better 6 months after treatment. Poor visual outcomes were seen in eyes with positive bacterial cultures and with oral flora.
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Databáze: MEDLINE
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