September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Causes and Outcomes of Endophthalmitis Presenting with Light Perception Only Vision
Author Affiliations & Notes
  • Jing Jing Feng
    North Shore-LIJ Health System, Manhasset, New York, United States
  • Jonathan Jonisch
    North Shore-LIJ Health System, Manhasset, New York, United States
  • Salman J Yousuf
    North Shore-LIJ Health System, Manhasset, New York, United States
  • Footnotes
    Commercial Relationships   Jing Jing Feng, None; Jonathan Jonisch, None; Salman Yousuf, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 6388. doi:
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      Jing Jing Feng, Jonathan Jonisch, Salman J Yousuf; Causes and Outcomes of Endophthalmitis Presenting with Light Perception Only Vision. Invest. Ophthalmol. Vis. Sci. 2016;57(12):6388.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To evaluate causes and outcomes for endophthalmitis patients presenting with light perception (LP) only vision. The EVS identified initial LP only vision as the primary predictor of poor final vision, but primarily only studied one cause of endophthalmitis. We investigated outcomes in LP only eyes from all causes of endophthalmitis.

Methods : All charts for patients with endophthalmitis over a three year period were reviewed. Patients presenting with LP vision were separated into four treatment groups: immediate tap and inject (T&I), immediate pars plana vitrectomy (PPV), T&I followed by PPV, or other (enucleation for 2 cases that presented in a very advanced state). Other data collected include: age, sex, cause of endophthalmitis, culture result and organism if available, and visual acuity at the most recent office visit.

Results : Of 151 patients identified, 26 (17%) were LP only. Causes included cataract surgery (8), trabecultectomy (6), corneal ulcer (3), intravitreal injection (2), ruptured globe (2), bacteremia (1), and idiopathic (4). At final visit, 35% of patients remained LP-only or worsened. For those that improved, the average final vision was 20/800; post-cataract patients had the best average final vision (20/100; p<0.01).

Conclusions : Patients with initial LP only vision from endophthalmitis tended to have poor visual outcomes, especially for those cases unrelated to cataract surgery. Despite treatment per EVS recommendations, approximately one-third of all patients remained with light perception only vision or worsened. Cause of endophthalmitis was a predictor of final vision - compared to all other causes, endophthalmitis due to cataract surgery had the best visual outcome.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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