Visual outcome of endogenous endophthalmitis in Thailand

Abstract To evaluate a 10-year visual outcome of endogenous endophthalmitis (EE) patients. A 10-year retrospective chart review of EE patients. Thirty-eight patients (40 eyes) were diagnosed with EE at the mean age of 42. Among the identifiable pathogens (71.1% culture positive), the causative agent...

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Autores principales: Preeyachan Lourthai, Pitipol Choopong, Dhanach Dhirachaikulpanich, Kunravitch Soraprajum, Warinyupa Pinitpuwadol, Noppakhun Punyayingyong, Yaninsiri Ngathaweesuk, Nattaporn Tesavibul, Sutasinee Boonsopon
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/11209a0e3912472a92b4d31cb5a290d9
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spelling oai:doaj.org-article:11209a0e3912472a92b4d31cb5a290d92021-12-02T16:14:03ZVisual outcome of endogenous endophthalmitis in Thailand10.1038/s41598-021-93730-72045-2322https://doaj.org/article/11209a0e3912472a92b4d31cb5a290d92021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93730-7https://doaj.org/toc/2045-2322Abstract To evaluate a 10-year visual outcome of endogenous endophthalmitis (EE) patients. A 10-year retrospective chart review of EE patients. Thirty-eight patients (40 eyes) were diagnosed with EE at the mean age of 42. Among the identifiable pathogens (71.1% culture positive), the causative agents were predominantly gram-negative bacteria (48.1%). The most common specie was Klebsiella pneumoniae (25.9%). About a quarter of the patients required surgical eye removal, and the remaining 45.7% had visual acuity (VA) worse than hand motion at one month after the infectious episode. The most common complication was ocular hypertension (52.5%). Poor initial VA was significantly associated with a worse visual outcome in the early post-treatment period (p 0.12, adjusted OR 10.20, 95% CI 1.65–62.96). Five patients continued to visit the clinic for at least ten years. One patient had gained his vision from hand motion to 6/7.5. Two patients had visual deterioration, one from corneal decompensation, and the other from chronic retinal re-detachment. Two patients developed phthisis bulbi, with either some VA perception of light or no light perception. Poor initial VA is the only prognostic factor of a poor early post-treatment visual outcome of EE.Preeyachan LourthaiPitipol ChoopongDhanach DhirachaikulpanichKunravitch SoraprajumWarinyupa PinitpuwadolNoppakhun PunyayingyongYaninsiri NgathaweesukNattaporn TesavibulSutasinee BoonsoponNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-5 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Preeyachan Lourthai
Pitipol Choopong
Dhanach Dhirachaikulpanich
Kunravitch Soraprajum
Warinyupa Pinitpuwadol
Noppakhun Punyayingyong
Yaninsiri Ngathaweesuk
Nattaporn Tesavibul
Sutasinee Boonsopon
Visual outcome of endogenous endophthalmitis in Thailand
description Abstract To evaluate a 10-year visual outcome of endogenous endophthalmitis (EE) patients. A 10-year retrospective chart review of EE patients. Thirty-eight patients (40 eyes) were diagnosed with EE at the mean age of 42. Among the identifiable pathogens (71.1% culture positive), the causative agents were predominantly gram-negative bacteria (48.1%). The most common specie was Klebsiella pneumoniae (25.9%). About a quarter of the patients required surgical eye removal, and the remaining 45.7% had visual acuity (VA) worse than hand motion at one month after the infectious episode. The most common complication was ocular hypertension (52.5%). Poor initial VA was significantly associated with a worse visual outcome in the early post-treatment period (p 0.12, adjusted OR 10.20, 95% CI 1.65–62.96). Five patients continued to visit the clinic for at least ten years. One patient had gained his vision from hand motion to 6/7.5. Two patients had visual deterioration, one from corneal decompensation, and the other from chronic retinal re-detachment. Two patients developed phthisis bulbi, with either some VA perception of light or no light perception. Poor initial VA is the only prognostic factor of a poor early post-treatment visual outcome of EE.
format article
author Preeyachan Lourthai
Pitipol Choopong
Dhanach Dhirachaikulpanich
Kunravitch Soraprajum
Warinyupa Pinitpuwadol
Noppakhun Punyayingyong
Yaninsiri Ngathaweesuk
Nattaporn Tesavibul
Sutasinee Boonsopon
author_facet Preeyachan Lourthai
Pitipol Choopong
Dhanach Dhirachaikulpanich
Kunravitch Soraprajum
Warinyupa Pinitpuwadol
Noppakhun Punyayingyong
Yaninsiri Ngathaweesuk
Nattaporn Tesavibul
Sutasinee Boonsopon
author_sort Preeyachan Lourthai
title Visual outcome of endogenous endophthalmitis in Thailand
title_short Visual outcome of endogenous endophthalmitis in Thailand
title_full Visual outcome of endogenous endophthalmitis in Thailand
title_fullStr Visual outcome of endogenous endophthalmitis in Thailand
title_full_unstemmed Visual outcome of endogenous endophthalmitis in Thailand
title_sort visual outcome of endogenous endophthalmitis in thailand
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/11209a0e3912472a92b4d31cb5a290d9
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