Analysis of Referred 113 Patients with Endophthalmitis after Cataract Surgery and Associated Prognostic Factors.

Choi, Seong Chan; Cho, Han Joo; Kim, Hyoung Seok; Han, Jung Il; Lee, Dong Won; Cho, Sung Won; Lee, Tae Gon; Kim, Chul Gu; Kim, Jong Woo

doi:2016.57.3.420

J Korean Ophthalmol Soc > Volume 57(3); 2016 > Article

Original Article

Journal of the Korean Ophthalmological Society 2016;57(3):420-428.
DOI: https://doi.org/10.3341/jkos.2016.57.3.420 Published online March 15, 2016.

Analysis of Referred 113 Patients with Endophthalmitis after Cataract Surgery and Associated Prognostic Factors.

Seong Chan Choi, Han Joo Cho, Hyoung Seok Kim, Jung Il Han, Dong Won Lee, Sung Won Cho, Tae Gon Lee, Chul Gu Kim, Jong Woo Kim

Myunggok Eye Research Institute, Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. chojoo@kimeye.com

백내장 수술 후 발생한 안내염으로 의뢰된 113 사례 분석 및 시력예후와 관련된 인자

최성찬⋅조한주⋅김형석⋅한정일⋅이동원⋅조성원⋅이태곤⋅김철구⋅김종우

건양대학교 의과대학 김안과병원 안과학교실 명곡안연구소

Abstract

PURPOSE
To evaluate factors affecting final visual acuity by analyzing patients referred with infectious endophthalmitis after cataract surgery. METHODS: A retrospective investigation of clinical notes of 113 patients referred with endophthalmitis following cataract surgery was conducted from January 2008 to December 2013. To evaluate factors affecting final visual acuity, initial visual acuity, onset of endophthalmitis after the cataract surgery, types of treatment, presence of hypopyon and culture results were investigated. RESULTS: Of the 113 patients, visual acuities at presentation were hand motions or less in 75 patients (66.3%) and final visual acuities after treatments were 0.5 or better in 73 patients (64.6%). Cases with initial visual acuity of hand motions or better achieved favorable outcomes whereas cases with gram-negative infection or endophthalmitis occurring within 2 days postoperatively showed poor prognosis. Statistically, vitrectomy versus intraocular antibiotic injection as primary means of treatment showed no differences in final visual acuity in patients with initial visual acuity of hand motion or better. CONCLUSIONS: Visual acuities at presentation, type of cultured organism and onset of endophthalmitis after cataract surgery are significantly related to visual prognosis. Advantages of initial vitrectomy versus intraocular antibiotic injections were unclear and further investigations are necessary to clarify these issues.

Key Words: Cataract surgery;Postoperative endophthalmitis;Prognostic factors;Visual acuity