Factors associated with a poor visual result in endophthalmitis.
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.
D000867:Anterior Chamber / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002387:Cataract Extraction / Q000009:adverse effects; D004322:Drainage; D009877:Endophthalmitis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D005131:Eye Injuries / Q000150:complications; D006801:Humans; D011379:Prognosis; D012189:Retrospective Studies; D013203:Staphylococcal Infections; D013290:Streptococcal Infections; D014785:Vision, Ocular; D014822:Vitreous Body / Q000601:surgery
D000900:Anti-Bacterial Agents