Pseudophakic Endophthalmitis.

Kwon, Seung Hyun; Cho, Nam Chun; Han, Hong Joo

Original Article

Journal of the Korean Ophthalmological Society 1995;36(1):39-44.
Published online January 1, 1995.

Pseudophakic Endophthalmitis.

Seung Hyun Kwon, Nam Chun Cho, Hong Joo Han

Department of Ophthalmology, College of Medicine, Chun Book University, Seoul, Korea.

인공수정체 삽입안에서의 안내염

권승현(Seung Hyun Kwon),조남천(Nam Chun Cho),한홍주(Hong Joo Han)

Abstract

The authors treated 12 patients with pseudophakic endophthalmitis over a 5 year period between 1990 and 1994. Common clinical manifestations included anterior chamber inflammation, conjunctival injection, decreased visual acuity, ocular pain and hypopyon. Eight of 12 cases(67%) were culture positive when organisms were grown up from aspirates of the aqueous, the vitreous or both. Three of the culture positive cases were grown up from aspirates of the aqueous, the vitreous or both. Three of the culture positive cases were candida endophthalmitis. Treatment consisted of topical, periocular, systemic and intravitreal injection of antimicrobial agents. In addition, because of poor clinical response of medical conservative therapy, six cases had a vitrectomy. Intraocular lenses were removed in 3 candida endophthalmitis at second operation. Final visual acuity has better in culture negative and low virulent bacterial endophthalimitis than high virulent bacterial and candida endophthalmitis. Visual outcome was better in cured patients who received a single intravitreal injection or a single intravitreal injection in combination with virectomy than the patients who did not receive intravitreal injection or received repeated intravitreal injection. Complications were two eviscerations and a retinal detachment.

Key Words: Endophthalmitis;Intravitreal injection;Pseudophakia;Vitrectomy