Abstract
Purpose: :
To report a large consecutive case series of patients who developed acute-onset endophthalmitis after clear corneal cataract surgery, and to compare the microbiology and treatment outcomes to other published studies.
Methods: :
Retrospective consecutive case series from a large medical center of patients who developed endophthalmitis within six weeks of cataract surgery, and were treated between January 1996 and December 2008. Organisms cultured and visual acuity outcomes were compared to published studies.
Results: :
A total of 97 patients met study criteria. Coagulase-negative Staphylococcus accounted for isolates in 62% of patients in the current study, 42% in the European Society of Cataract and Refractive Surgeons (ESCRS) study, and 70% in the Endophthalmitis Vitrectomy Study (EVS). Visual acuity outcomes of ≥ 20/40 were achieved in 44%, 53%, and 52% of patients in the current study, ESCRS study, and EVS, respectively.
Conclusions: :
Microbiological and treatment outcomes were similar in the current study compared to published studies.
Keywords: endophthalmitis • microbial pathogenesis: clinical studies • visual acuity