J Korean Ophthalmol Soc.  2013 Jul;54(7):1025-1031. 10.3341/jkos.2013.54.7.1025.

Factors Affecting Final Visual Acuity in Infectious Endophthalmitis Following Cataract Surgery

• Kang KT
• Kim KS
• Kim YC

• KMID: 2217411
• DOI: http://doi.org/10.3341/jkos.2013.54.7.1025

Abstract

PURPOSE
To evaluate the factors affecting the clinical outcome and final visual acuity in patients with infectious endophthalmitis following cataract surgery.
METHODS
In this study, 35 patients who were diagnosed with endophthalmitis following cataract surgery from 2003 to 2012 were retrospectively analyzed. To evaluate factors affecting final visual acuity, the following were investigated: initial visual acuity, presence of diabetes mellitus, onset of endophthalmitis after the cataract surgery, performance of vitrectomy, duration between diagnosis and vitrectomy, presence of culture and results of bacterial cultures, type of corneal incision, presence of suture on corneal incision, presence of posterior capsule rupture, and surgeon's experience in referred cases.
RESULTS
Intravitreal antibiotic injection was given in all 35 cases, and vitrectomy was additionally performed in 30 of the cases. Statistically, none of the initially investigated factors affected final visual acuity. Coagulase-negative staphylococci including staphylococcus epidermidis were the most common organisms isolated during the study period.
CONCLUSIONS
No single factor investigated significantly affected the final visual acuity in postoperative endophthalmitis following cataract surgery.

Keyword

Bacterial culture; Cataract surgery; Postoperative endophthalmitis

MeSH Terms

Cataract
Diabetes Mellitus
Endophthalmitis
Humans
Retrospective Studies
Rupture
Staphylococcus epidermidis
Sutures
Visual Acuity
Vitrectomy

Reference

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