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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2021
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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) |
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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 |
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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. |
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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 |
work_keys_str_mv |
AT preeyachanlourthai visualoutcomeofendogenousendophthalmitisinthailand AT pitipolchoopong visualoutcomeofendogenousendophthalmitisinthailand AT dhanachdhirachaikulpanich visualoutcomeofendogenousendophthalmitisinthailand AT kunravitchsoraprajum visualoutcomeofendogenousendophthalmitisinthailand AT warinyupapinitpuwadol visualoutcomeofendogenousendophthalmitisinthailand AT noppakhunpunyayingyong visualoutcomeofendogenousendophthalmitisinthailand AT yaninsiringathaweesuk visualoutcomeofendogenousendophthalmitisinthailand AT nattaporntesavibul visualoutcomeofendogenousendophthalmitisinthailand AT sutasineeboonsopon visualoutcomeofendogenousendophthalmitisinthailand |
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