Posts Tagged by endophthalmitis

Delayed-onset endophthalmitis associated with better visual outcomes

AO LogoDelayed-onset endophthalmitis associated with better visual outcomes
This large retrospective series included all patients treated for culture-proven endophthalmitis after cataract surgery at a single university center between 2000 and 2009. Patients with delayed-onset endophthalmitis (>6 weeks after surgery) generally presented with better initial visual acuities, had a lower frequency of hypopyon, and better visual outcomes compared to acute-onset patients (≤6 weeks after surgery). Propionibacterium acnes and coagulase-negative Staphylococcus species were the most common organisms cultured in both groups and were associated with the best visual acuity outcomes in both groups.

American Journal of Ophthalmology, March 2012 (534)

Intravitreal injections associated with low endophthalmitis rate

AO LogoThis retrospective review of all intravitreal injections performed at the Massachusetts Eye and Ear Infirmary over five years shows an endophthalmitis rate of 0.029 percent per injection, three cases out of 10,208 injections. Bacterial cultures revealed coagulase-negative Staphylococcus species, Staphylococcus epidermidis and one negative culture. All cases were successfully treated with either intravitreal antibiotics and steroids or pars plana vitrectomy. Data also suggest that omission of a sterile drape, eyelid speculum or postinjection antibiotics by several of the treating ophthalmologists did not result in an increased rate of postinjection endophthalmitis.

British Journal of Ophthalmology, April 2013 (221)