April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
Acute-Onset Endophthalmitis After Clear Corneal Cataract Surgery: Comparison of Microbiology and Visual Outcomes to Published Clinical Studies
Author Affiliations & Notes
  • A. R. Shirodkar
    Bascom Palmer Eye Institute, Miami, Florida
  • K. Alliman
    Bascom Palmer Eye Institute, Miami, Florida
  • D. Miller
    Bascom Palmer Eye Institute, Miami, Florida
  • G. A. Lalwani
    Bascom Palmer Eye Institute, Miami, Florida
  • H. W. Flynn, Jr.
    Bascom Palmer Eye Institute, Miami, Florida
  • Footnotes
    Commercial Relationships  A.R. Shirodkar, None; K. Alliman, None; D. Miller, None; G.A. Lalwani, None; H.W. Flynn, Jr., None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 6048. doi:
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      A. R. Shirodkar, K. Alliman, D. Miller, G. A. Lalwani, H. W. Flynn, Jr.; Acute-Onset Endophthalmitis After Clear Corneal Cataract Surgery: Comparison of Microbiology and Visual Outcomes to Published Clinical Studies. Invest. Ophthalmol. Vis. Sci. 2010;51(13):6048.

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

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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 
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