Correlation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes

Aleksandra V Rachitskaya, Harry W Flynn Jr, Yale L Fisher, Bernadete Ayres Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL, USA Background: The purpose of this study was to examine the baseline echographic features in culture-positi...

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Autores principales:	Rachitskaya AV, Flynn Jr HW, Fisher YL, Ayres B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/2e9b899562fe4db0930fd8723062bd08
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spelling	oai:doaj.org-article:2e9b899562fe4db0930fd8723062bd082021-12-02T02:29:38ZCorrelation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes1177-54671177-5483https://doaj.org/article/2e9b899562fe4db0930fd8723062bd082013-04-01T00:00:00Zhttp://www.dovepress.com/correlation-between-baseline-echographic-features-of-endophthalmitis-m-a12837https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Aleksandra V Rachitskaya, Harry W Flynn Jr, Yale L Fisher, Bernadete Ayres Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL, USA Background: The purpose of this study was to examine the baseline echographic features in culture-positive and culture-negative endophthalmitis and to correlate these echographic features with final visual outcomes. Methods: We identified a retrospective noncomparative case series of patients with a clinical diagnosis of endophthalmitis and a baseline echographic examination between 1996 and 2010 at a single institution. Graded echographic features studied included: dense, moderate, and mild vitreous opacities; marked, moderate, and mild vitreous membranes; retinal detachment; and choroidal detachment. These were compared between culture-negative, coagulase-negative staphylococci, and other culture-positive cases of endophthalmitis, and were correlated with final visual outcomes. Results: Of 149 patients reviewed, 60 were culture-negative, 26 grew coagulase-negative staphylococci, and 60 grew other culture-positive species. Three had multiple culture isolates. The presence of dense, moderate, and mild vitreous opacities, marked, moderate, and mild vitreous membranes, retinal detachment, and choroidal detachment was not significantly different between the three groups (P = 0.86, P = 0.56, P = 0.34, P = 0.45, respectively). The presence of advanced echographic features of dense vitreous opacities, marked vitreous membranes, retinal detachment, and choroidal detachment was correlated with poorer visual acuity outcomes (P = 0.005, P = 0.0001, P < 0.0001, and P < 0.0001, respectively). Conclusion: No correlation could be made between echographic features and the organism. The presence of advanced echographic features, such as dense vitreous opacities, marked vitreous membranes, retinal detachment, and choroidal detachment, was correlated with worse visual outcomes. Keywords: endophthalmitis, echography, retina, ultrasoundRachitskaya AVFlynn Jr HWFisher YLAyres BDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 779-785 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Rachitskaya AV Flynn Jr HW Fisher YL Ayres B Correlation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes
description	Aleksandra V Rachitskaya, Harry W Flynn Jr, Yale L Fisher, Bernadete Ayres Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL, USA Background: The purpose of this study was to examine the baseline echographic features in culture-positive and culture-negative endophthalmitis and to correlate these echographic features with final visual outcomes. Methods: We identified a retrospective noncomparative case series of patients with a clinical diagnosis of endophthalmitis and a baseline echographic examination between 1996 and 2010 at a single institution. Graded echographic features studied included: dense, moderate, and mild vitreous opacities; marked, moderate, and mild vitreous membranes; retinal detachment; and choroidal detachment. These were compared between culture-negative, coagulase-negative staphylococci, and other culture-positive cases of endophthalmitis, and were correlated with final visual outcomes. Results: Of 149 patients reviewed, 60 were culture-negative, 26 grew coagulase-negative staphylococci, and 60 grew other culture-positive species. Three had multiple culture isolates. The presence of dense, moderate, and mild vitreous opacities, marked, moderate, and mild vitreous membranes, retinal detachment, and choroidal detachment was not significantly different between the three groups (P = 0.86, P = 0.56, P = 0.34, P = 0.45, respectively). The presence of advanced echographic features of dense vitreous opacities, marked vitreous membranes, retinal detachment, and choroidal detachment was correlated with poorer visual acuity outcomes (P = 0.005, P = 0.0001, P < 0.0001, and P < 0.0001, respectively). Conclusion: No correlation could be made between echographic features and the organism. The presence of advanced echographic features, such as dense vitreous opacities, marked vitreous membranes, retinal detachment, and choroidal detachment, was correlated with worse visual outcomes. Keywords: endophthalmitis, echography, retina, ultrasound
format	article
author	Rachitskaya AV Flynn Jr HW Fisher YL Ayres B
author_facet	Rachitskaya AV Flynn Jr HW Fisher YL Ayres B
author_sort	Rachitskaya AV
title	Correlation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes
title_short	Correlation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes
title_full	Correlation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes
title_fullStr	Correlation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes
title_full_unstemmed	Correlation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes
title_sort	correlation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/2e9b899562fe4db0930fd8723062bd08
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Correlation between baseline echographic features of endophthalmitis, microbiological isolates, and visual outcomes

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