[Endophthalmitis after cataract surgery: predisposing factors, infectious agents and therapy] Export

@article{citeulike:1433769, abstract = {BACKGROUND: Infectious exogenous endophthalmitis is a serious complication after cataract surgery. Despite modern pharmacological and surgical methods, its treatment is still difficult. PATIENTS AND METHODS: In a retrospective study the records of all patients treated for endophthalmitis following cataract extraction at the Department of Ophthalmology of the University Hospital in Hamburg between January 1989 and December 1997 were assessed. RESULTS: Of 36 patients treated for endophthalmitis, 29 (80.6\%) had been referred. In 14 (38.9\%) of these 29 patients endophthalmitis had occurred after outpatient cataract surgery. Seven patients (19.4\%) had been treated as inpatients at the University Eye Hospital Eppendorf. Vitrectomy was performed in 80.6\% of the cases. An infectious agent was isolated from 50\% of diagnostic probes. The most common organism isolated were coagulase-negative staphylococci (4 cases). Predisposing factors for the development of endophthalmitis were diabetes (27.8\%), intraoperative loss of vitreous (19.4\%), application of systemic steroids (13.9\%) and wound dehiscence (11.1\%). Of 27 patients (75\%) followed up, 16 (59.3\%) had a final visual acuity of 20/400 or better (mean 20/40). An enucleation had to be performed in 4 patients (13.8\%). CONCLUSION: In this study, approximately 60\% of patients with endophthalmitis following cataract extraction had their globes preserved and a good visual outcome after appropriate surgical interventions.}, address = {Universit\"{a}ts-Augenklinik, Hamburg-Eppendorf (UKE).}, author = {Zell, K. and Engelmann, K. and Bialasiewicz, A. A. and Richard, G.}, citeulike-article-id = {1433769}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/10827460}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=10827460}, issn = {0941-293X}, journal = {Ophthalmologe}, keywords = {cataract, endophthalmitis, factors, risk}, month = {April}, number = {4}, pages = {257--263}, posted-at = {2007-07-04 20:29:24}, priority = {2}, title = {[Endophthalmitis after cataract surgery: predisposing factors, infectious agents and therapy]}, url = {http://view.ncbi.nlm.nih.gov/pubmed/10827460}, volume = {97}, year = {2000} }

TY - JOUR ID - citeulike:1433769 L3 - citeulike-article-id:1433769 N2 - BACKGROUND: Infectious exogenous endophthalmitis is a serious complication after cataract surgery. Despite modern pharmacological and surgical methods, its treatment is still difficult. PATIENTS AND METHODS: In a retrospective study the records of all patients treated for endophthalmitis following cataract extraction at the Department of Ophthalmology of the University Hospital in Hamburg between January 1989 and December 1997 were assessed. RESULTS: Of 36 patients treated for endophthalmitis, 29 (80.6%) had been referred. In 14 (38.9%) of these 29 patients endophthalmitis had occurred after outpatient cataract surgery. Seven patients (19.4%) had been treated as inpatients at the University Eye Hospital Eppendorf. Vitrectomy was performed in 80.6% of the cases. An infectious agent was isolated from 50% of diagnostic probes. The most common organism isolated were coagulase-negative staphylococci (4 cases). Predisposing factors for the development of endophthalmitis were diabetes (27.8%), intraoperative loss of vitreous (19.4%), application of systemic steroids (13.9%) and wound dehiscence (11.1%). Of 27 patients (75%) followed up, 16 (59.3%) had a final visual acuity of 20/400 or better (mean 20/40). An enucleation had to be performed in 4 patients (13.8%). CONCLUSION: In this study, approximately 60% of patients with endophthalmitis following cataract extraction had their globes preserved and a good visual outcome after appropriate surgical interventions. IS - 4 JF - Ophthalmologe SN - 0941-293X AD - Universitäts-Augenklinik, Hamburg-Eppendorf (UKE). EP - 263 TI - [Endophthalmitis after cataract surgery: predisposing factors, infectious agents and therapy] VL - 97 SP - 257 KW - cataract KW - endophthalmitis KW - factors KW - risk AU - Zell, K AU - Engelmann, K AU - Bialasiewicz, AA AU - Richard, G PY - 2000/04// UR - http://view.ncbi.nlm.nih.gov/pubmed/10827460 ER -