A Cluster of Patients With Acute-Onset Endophthalmitis Following Cataract Surgery
| Autor: | Ingrid U. Scott, Nauman A Chaudhry, Harry W. Flynn, P. E. Liggett, Alejandro J Lavaque |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures biology business.industry medicine.medical_treatment Ceftazidime Cataract surgery Hypopyon biology.organism_classification medicine.disease eye diseases Fibrin Endophthalmitis Staphylococcus epidermidis Ophthalmology medicine biology.protein Vancomycin sense organs medicine.symptom business medicine.drug |
| Zdroj: | Ophthalmic Surgery, Lasers and Imaging Retina. 36:205-210 |
| ISSN: | 2325-8179 2325-8160 |
| DOI: | 10.3928/1542-8877-20050501-06 |
| Popis: | * BACKGROUND AND OBJECTIVE: To describe a cluster of patients who had acute-onset endophthalmitis following cataract surgery. * PATIENTS AND METHODS: Ten patients with endophthalmitis following cataract surgery who were referred from three different anterior segment surgeons were evaluated. * RESULTS: Presenting visual acuities ranged from 20/30 to light perception (median, 20/80). All 10 eyes demonstrated vitritis, 8 of 10 eyes had hypopyon, and the remaining 2 eyes had significant anterior segment fibrin. All patients were treated with intravitreal injections of vancomycin and ceftazidime, as well as subconjunctival steroids. Vitreous cultures were positive in 2 of 10 eyes, and both grew Staphylococcus epidermidis; aqueous cultures were negative in 8 of 8 eyes (not performed in 2 patients). Follow-up ranged from 13 to 85 days (median, 37 days). All eyes showed complete resolution of inflammation and visual acuity improved to 20/40 or better in 9 eyes (90%). * CONCLUSIONS: Acute-onset endophthalmitis may occur in a cluster of patients within a short time frame. Early diagnosis and treatment may result in favorable visual outcomes. [Ophthalmic Surg Lasers Imaging 2005;36:205210.] |
| Databáze: | OpenAIRE |
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