[True or supposed bacterial endophthalmitis. Study of anatomo-functional outcome apropos of 32 cases].
OBJECTIVE
Vision prognostic study depending on the germs and the therapic performed in bacterial endophthalmitis.


METHODS
In a retrospective study over a period of 3 years (1991-1993), 32 cases of post surgery bacterian endophthalmitis were detected: 30 cases after cataract surgery (29 cases after extra capsular surgery and one case after intra capsular), one case after trabeculectomy and one case after keratoplasty.


RESULTS
A risk factor was evidenced in 15.6% of the cases. Endocular samples were done in 68.75% of the cases. The positive rate was 36.4% showing a Staphylococcus in 5 cases out of 8 (62,5%). In 37.5% of the cases an intraocular antibiotic injection was associated to the anterior chamber punction. 40% of the cases contaminated with Staphylococcus regained a visual acuity of more than 3/10. For the two cases where a Streptococcus was isolated an evisceration was necessary. Our results show that a higher visual acuity was obtained when a posterior vitrectomy was performed. When the posterior vitrectomy was associated with a corticoid therapy, the visual prognostic was better. Thus, 71% of these cases regained a visual acuity of more than 3/10.


CONCLUSIONS
Our results show that performing a posterior vitrectomy associated to a general corticotherapy within 48 hours from the bacterian endophthalmitis diagnosis would allow best vision improvement.
Saint-Blancat
P
P
Service d'Ophtalmologie, CHU Jean-Bernard, Poitiers.
Morand
I
I
Burucoa
C
C
Boissonnot
M
M
Risse
J F
JF
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000900:Anti-Bacterial Agents; D001424:Bacterial Infections / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D009877:Endophthalmitis / Q000382:microbiology* / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D011379:Prognosis; D016896:Treatment Outcome; D014821:Vitrectomy
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents
Endophtalmies bactériennes ou supposées telles. Etude du devenir anatomo-fonctionnel à propos de 32 cas.