Factors Associated with a Poor Visual Result in Acute Endophthalmitis After Cataract Surgery.

Jung, Ja Young; Ko, Byung Yi; Kim, Byeoung Yeob

doi:2008.49.8.1242

J Korean Ophthalmol Soc > Volume 49(8); 2008 > Article

Original Article

Journal of the Korean Ophthalmological Society 2008;49(8):1242-1247.
DOI: https://doi.org/10.3341/jkos.2008.49.8.1242 Published online August 15, 2008.

Factors Associated with a Poor Visual Result in Acute Endophthalmitis After Cataract Surgery.

Ja Young Jung, Byung Yi Ko, Byeoung Yeob Kim

¹Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Seoul, Korea. yeopk@konyang.ac.kr
²Department of Ophthalmology, Collage of Medicine, Konyang University, Daejeon, Korea.

백내장 수술 후 발생한 급성 안내염의 임상경과와 시력예후 인자

정자영¹ㆍ고병이²ㆍ김병엽¹

Department of Ophthalmology, Konyang University, Kim’s Eye Hospital, Myung-Gok Eye Research Institute1, Seoul, Korea / Department of Ophthalmology, Collage of Medicine, Konyang University2, Daejeon, Korea

Abstract

PURPOSE
To determine the factors related to the clinical outcome of acute endophthalmitis after cataract surgery. METHODS: Authors performed a retrospective study of 65 eyes of 65 patients who had been treated for endophthalmitis from 2001 to 2006 at our hospital. We analyzed the relationship between final visual outcomes and prognostic factors. RESULTS: Final visual acuities were 0.5 or better in 49.2% of all eyes. Of 57 eyes, 29 eyes (50.8%) were culture positive. Staphylococcus epidermidis and Streptococcus pneumoniae were the most common organisms isolated. Cases with baseline acuity of counting fingers or better, cases with culture-negative or gram-positive infection, and cases not requiring vitrectomy had better prognoses. CONCLUSIONS: Baseline visual acuity, type of cultured organism, and method of treatment are significantly related to visual prognosis.

Key Words: Acute endophthalmitis;Cataract surgery