May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Characteristics of Endophthalmitis in Patients With the Boston Keratoprostheses
Author Affiliations & Notes
  • R. E. Fintelmann
    Wills Eye Institution, Philadelphia, Pennsylvania
  • B. D. Ayres
    Wills Eye Institution, Philadelphia, Pennsylvania
    Cornea,
  • J. I. Maguire
    Wills Eye Institution, Philadelphia, Pennsylvania
    Retina,
  • A. C. Ho
    Wills Eye Institution, Philadelphia, Pennsylvania
    Retina,
  • H. F. Chew
    Wills Eye Institution, Philadelphia, Pennsylvania
    Cornea,
  • Footnotes
    Commercial Relationships  R.E. Fintelmann, None; B.D. Ayres, None; J.I. Maguire, None; A.C. Ho, None; H.F. Chew, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 953. doi:https://doi.org/
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      R. E. Fintelmann, B. D. Ayres, J. I. Maguire, A. C. Ho, H. F. Chew; Characteristics of Endophthalmitis in Patients With the Boston Keratoprostheses. Invest. Ophthalmol. Vis. Sci. 2008;49(13):953. doi: https://doi.org/.

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

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Abstract

Purpose: : What are the characteristics of endophthalmitis in patients with the Boston Keratoprostheses?

Methods: : Chart review of 4 out of 35 patients who underwentKeratoprosthesis implantation on the Wills Eye Cornea service from 2001-2007 and who developed endophthalmitis.

Results: : All four patients underwent surgery because of failed graft. The incidence of endophthalmitis was 11.4%. All of them occurred late (5-57 months). Three of the four patients had been on topical Vancomycin drops. All four patients underwent a tap and inject and were treated as inpatients for three to seven days with intensive topical and systemic therapy. Three out of four had culture positive results: Two coagulase negative Staphylococcus, one Pseudomonas and Staphycoloccus aureus.

Conclusions: : Endophthalmitis can occur after Boston Keratoprostheses at a significant rate even in low risk patients on prophylactic vancomycin drops.

Keywords: endophthalmitis • keratoprostheses 
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