Infectious endophthalmitis: review of 420 cases

Chavakij Bhoomibunchoo, Tanapat Ratanapakorn, Suthasinee Sinawat, Thuss Sanguansak, Kittipatra Moontawee, Yosanan YospaiboonDepartment of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandBackground: To characterize the causative pathogens and the visual outcomes among pat...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Bhoomibunchoo C, Ratanapakorn T, Sinawat S, Sanguansak T, Moontawee K, Yospaiboon Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/eb1e8ae5472e487791dd1484982bd4cf
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:eb1e8ae5472e487791dd1484982bd4cf
record_format	dspace
spelling	oai:doaj.org-article:eb1e8ae5472e487791dd1484982bd4cf2021-12-02T03:35:12ZInfectious endophthalmitis: review of 420 cases1177-54671177-5483https://doaj.org/article/eb1e8ae5472e487791dd1484982bd4cf2013-02-01T00:00:00Zhttp://www.dovepress.com/infectious-endophthalmitis-review-of-420-cases-a12114https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Chavakij Bhoomibunchoo, Tanapat Ratanapakorn, Suthasinee Sinawat, Thuss Sanguansak, Kittipatra Moontawee, Yosanan YospaiboonDepartment of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandBackground: To characterize the causative pathogens and the visual outcomes among patients with endophthalmitis at a large referral center in northeastern Thailand.Methods: All cases of infectious endophthalmitis treated between 1983 and 2007 were reviewed retrospectively. The patient data &ndash; including age, sex, history of ocular injuries, previous treatment and duration of the symptoms &ndash; were recorded. The ocular examination included affected side, anterior chamber reaction, vitreous haze, and presence of intraocular foreign bodies. Smears and cultures were prepared from anterior chamber paracentesis and/or vitreous tapping. Intraocular antibiotics were administered at the time of anterior chamber paracentesis and/or vitreous tapping. Vitrectomy and/or lensectomy were performed when indicated. Initial visual acuity before treatment and the final best-corrected vision were compared.Results: A total of 420 cases of endophthalmitis were reviewed: 181 cases (43.1%) had ocular trauma before the infection; 135 (32.2%) developed endophthalmitis after intraocular surgery; and, 122 (29.1%) had a positive culture. Bacteria were isolated in 114 cases (93.4%) and fungi were noted in eight (6.6%). The common causative bacterium was Staphylococcus epidermidis. Combined vitrectomy and intraocular antibiotics were performed in 189 cases (45.0%), whereas 69 cases (16.4%) were treated with intraocular antibiotics alone.Conclusion: Most of the reviewed cases were associated with trauma and intraocular surgery. The most frequently encountered bacterium causing infectious endophthalmitis was S. epidermidis. Most cases were treated with combined vitrectomy and intraocular antibiotics. The final visual outcomes seem to vary according to the type of endophthalmitis.Keywords: endophthalmitis, visual outcome, Staphylococcus epidermidisBhoomibunchoo CRatanapakorn TSinawat SSanguansak TMoontawee KYospaiboon YDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 247-252 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Bhoomibunchoo C Ratanapakorn T Sinawat S Sanguansak T Moontawee K Yospaiboon Y Infectious endophthalmitis: review of 420 cases
description	Chavakij Bhoomibunchoo, Tanapat Ratanapakorn, Suthasinee Sinawat, Thuss Sanguansak, Kittipatra Moontawee, Yosanan YospaiboonDepartment of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandBackground: To characterize the causative pathogens and the visual outcomes among patients with endophthalmitis at a large referral center in northeastern Thailand.Methods: All cases of infectious endophthalmitis treated between 1983 and 2007 were reviewed retrospectively. The patient data &ndash; including age, sex, history of ocular injuries, previous treatment and duration of the symptoms &ndash; were recorded. The ocular examination included affected side, anterior chamber reaction, vitreous haze, and presence of intraocular foreign bodies. Smears and cultures were prepared from anterior chamber paracentesis and/or vitreous tapping. Intraocular antibiotics were administered at the time of anterior chamber paracentesis and/or vitreous tapping. Vitrectomy and/or lensectomy were performed when indicated. Initial visual acuity before treatment and the final best-corrected vision were compared.Results: A total of 420 cases of endophthalmitis were reviewed: 181 cases (43.1%) had ocular trauma before the infection; 135 (32.2%) developed endophthalmitis after intraocular surgery; and, 122 (29.1%) had a positive culture. Bacteria were isolated in 114 cases (93.4%) and fungi were noted in eight (6.6%). The common causative bacterium was Staphylococcus epidermidis. Combined vitrectomy and intraocular antibiotics were performed in 189 cases (45.0%), whereas 69 cases (16.4%) were treated with intraocular antibiotics alone.Conclusion: Most of the reviewed cases were associated with trauma and intraocular surgery. The most frequently encountered bacterium causing infectious endophthalmitis was S. epidermidis. Most cases were treated with combined vitrectomy and intraocular antibiotics. The final visual outcomes seem to vary according to the type of endophthalmitis.Keywords: endophthalmitis, visual outcome, Staphylococcus epidermidis
format	article
author	Bhoomibunchoo C Ratanapakorn T Sinawat S Sanguansak T Moontawee K Yospaiboon Y
author_facet	Bhoomibunchoo C Ratanapakorn T Sinawat S Sanguansak T Moontawee K Yospaiboon Y
author_sort	Bhoomibunchoo C
title	Infectious endophthalmitis: review of 420 cases
title_short	Infectious endophthalmitis: review of 420 cases
title_full	Infectious endophthalmitis: review of 420 cases
title_fullStr	Infectious endophthalmitis: review of 420 cases
title_full_unstemmed	Infectious endophthalmitis: review of 420 cases
title_sort	infectious endophthalmitis: review of 420 cases
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/eb1e8ae5472e487791dd1484982bd4cf
work_keys_str_mv	AT bhoomibunchooc infectiousendophthalmitisreviewof420cases AT ratanapakornt infectiousendophthalmitisreviewof420cases AT sinawats infectiousendophthalmitisreviewof420cases AT sanguansakt infectiousendophthalmitisreviewof420cases AT moontaweek infectiousendophthalmitisreviewof420cases AT yospaiboony infectiousendophthalmitisreviewof420cases
_version_	1718401767081771008

Infectious endophthalmitis: review of 420 cases

Ejemplares similares