Postoperative Endophthalmitis Following Cataract Surgery Over an Eight-Year Period.

Kim, Woo Jin; Kweon, Eui Yong; Lee, Dong Wook; Cho, Nam Chun

doi:2008.49.11.1771

J Korean Ophthalmol Soc > Volume 49(11); 2008 > Article

Original Article

Journal of the Korean Ophthalmological Society 2008;49(11):1771-1778.
DOI: https://doi.org/10.3341/jkos.2008.49.11.1771 Published online November 15, 2008.

Postoperative Endophthalmitis Following Cataract Surgery Over an Eight-Year Period.

Woo Jin Kim, Eui Yong Kweon, Dong Wook Lee, Nam Chun Cho

Department of Ophthalmology, Chonbuk National University, School of Medicine, Jeonju, Korea. key@chonbuk.ac.kr

백내장 수술 후 발생한 안내염 환자에 관한 8년간의 고찰

김우진ㆍ권의용ㆍ이동욱ㆍ조남천

Department of Ophthalmology, Chonbuk National University, School of Medicine, Jeonju, Korea

Abstract

PURPOSE
To estimate the annual incidence rate, evaluate any changes, analyze the microbiologic spectrum of infecting organisms, antibiotic susceptibility, and factors associated with visual outcomes of postoperative endophthalmitis following cataract surgery over an 8-year period. METHODS: A retrospective investigation of direction, sex, age, culture results, interval duration, and initial visual acuity of 29 patients with endophthalmitis following cataract surgery was conducted from January 2000 to December 2007. The study was divided into two 4-year periods, with patients categorized into either Group 1 or 2. RESULTS: The incidence rate was 0.359%, the major infective organism was Staphylococcus epidermidis, and no significant change was observed during the 8-year period. Vancomycin retained efficacy in all cases, but increased resistance occurred with ciprofloxacin during the 8 years. Increased visual acuity after treatment was greater in Group 2 and the interval from onset of ocular symptoms to ophthalmic consultation was shorter in Group 2, although a statistical significance was not demonstrated. CONCLUSIONS: Vancomycin remains effective for patients with endophthalmitis following cataract surgery. Patients who initially had good visual acuity showed greater improvement. However, sex, age, or whether or not the patients had a vitrectomy operation, were not statistically significant factors in the improvement of visual acuity.

Key Words: Cataract surgery;Postoperative endophthalmitis