Factors associated with a poor visual result in endophthalmitis

Am J Ophthalmol. 1986 Mar 15;101(3):332-41. doi: 10.1016/0002-9394(86)90829-9.

Abstract

In a retrospective study of 82 cases of endophthalmitis treated between 1976 and 1982 at Barnes Hospital-Washington University, St. Louis, Missouri, 51 (62%) cases were culture-proven. Forty-nine (60%) were associated with cataract extraction, 16 cases (20%) were associated with trauma, and 17 cases (20%) were associated with other events. Sixty-four patients (78%) had undergone neither anterior chamber nor vitreous paracentesis before referral. Seventeen of the 51 culture-proven cases were initially thought to be sterile inflammatory responses and not infectious by the referring ophthalmologist. A poor visual result (visual acuity of less than 20/400) was associated with positive cultures, accidental trauma, virulent organisms, poor initial visual acuity, or a combination of these.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anterior Chamber / surgery
  • Anti-Bacterial Agents / therapeutic use
  • Cataract Extraction / adverse effects
  • Drainage
  • Endophthalmitis / etiology
  • Endophthalmitis / physiopathology
  • Endophthalmitis / therapy*
  • Eye Injuries / complications
  • Humans
  • Prognosis
  • Retrospective Studies
  • Staphylococcal Infections
  • Streptococcal Infections
  • Vision, Ocular*
  • Vitreous Body / surgery

Substances

  • Anti-Bacterial Agents