May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Seven-Year Incidence of Post-Operative Bacterial Endophthalmitis in a Costa Rican Teaching Hospital
Author Affiliations & Notes
  • T. Evans
    Instituto de Cirugia Ocular, San Jose, Costa Rica
  • T. Soriano
    Hospital Mexico, San Jose, Costa Rica
  • M. Evans
    Hospital Mexico, San Jose, Costa Rica
  • L. Wu
    Instituto de Cirugia Ocular, San Jose, Costa Rica
  • Footnotes
    Commercial Relationships  T. Evans, None; T. Soriano, None; M. Evans, None; L. Wu, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 968. doi:
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    • Get Citation

      T. Evans, T. Soriano, M. Evans, L. Wu; Seven-Year Incidence of Post-Operative Bacterial Endophthalmitis in a Costa Rican Teaching Hospital. Invest. Ophthalmol. Vis. Sci. 2008;49(13):968.

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

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Abstract

Purpose: : To report the incidence of post-operative bacterial endophthalmitis (POBE) before and after the transition from extracapsular cataract extraction (ECCE) to phacoemulsification (PE) in a Costa Rican teaching hospital.

Methods: : Retrospective chart review of all patients that presented with bacterial endophthalmitis following caratact surgery during the years of 2000 and 2006.

Results: : In 2000 ECCE accounted for 96.85% (n=645) of all cataract surgeries and the incidence of POBE was 0.16%. There were no cases of POBE in the remaining PE patients. During 2001 the percentage of patients that underwent PE rose to 12.84% (n=90) and was associated with an incidence of 1.11% of POBE. The incidence of POBE following ECCE remained stable at 0.16%. In 2002, 78.01% (n=589) of all cataract surgeries were performed by PE, 0.85% of the PE patients and 0% of the ECCE were affected by POBE. In 2003, 80.93% (n=573) of all cataract surgeries were performed with PE with an incidence of 0.52% of POBE. There were no POBE cases associated with ECCE. Between 2004 and 2006, 80.41% (n=516.33) of all cataract patients underwent PE with an incidence of POBE ranging between 0 and 0.27%.

Conclusions: : The transition from ECCE to PE in a Costa Rican teaching hospital was associated with a higher incidence of POBE during the first three years. Afterwards the incidence of POBE is comparable to those reported in developed countries.

Keywords: endophthalmitis • clinical (human) or epidemiologic studies: outcomes/complications • cataract 
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