Endophthalmitis following cataract surgery: visual outcomes, microbial spectrum and complications.
Publication/Presentation Date
5-1-2023
Abstract
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.
Volume
34
Issue
3
First Page
237
Last Page
242
ISSN
1531-7021
Published In/Presented At
Levin, H. J., Mehta, M. S., Storey, P. P., Patel, S. N., Kuley, B., Wibbelsman, T. D., Obeid, A., Garg, S., Vander, J., Dunn, J. P., & Ho, A. C. (2023). Endophthalmitis following cataract surgery: visual outcomes, microbial spectrum and complications. Current opinion in ophthalmology, 34(3), 237–242. https://doi.org/10.1097/ICU.0000000000000951
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
36943680
Department(s)
Administration and Leadership
Document Type
Article