Endophthalmitis today: A multispecialty ophthalmology department perspective

Elad Ben Artsi*, Gabriel Katz, Michael Kinori, Joseph Moisseiev

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To portray the current scene of endophthalmitis in a multispecialty ophthalmology department regarding etiologies and treatment guidelines. Methods: Retrospective chart review of all patients diagnosed with endophthalmitis or suspected endophthalmitis from 2009 to 2012. Results: A total of 24 eyes were diagnosed with endophthalmitis or suspected endophthalmitis during a 4-year period. The etiologies included endogenous endophthalmitis (6), blebitis (3), Ahmed valve implantation (3, 2 of them with late infection), postcataract surgery (3), intravitreal injections (4), penetrating injury (2), and other surgical procedures (3). Of the postcataract surgery cases, 1 was a congenital cataract surgery, and 2 were referrals. There were no endophthalmitis cases in 4603 adults undergoing cataract surgery in our department during this period. There were 14 positive cultures: 1 was candida and the rest bacteria. Ten of the bacteria cases were Gram-positive cocci (predominantly strep species), 3 were Gram-negative, and coagulase negative staphylococci were detected in 2 cases. Conclusions: Our study indicates a significant change in the case mix of endophthalmitis. The past leading cause, cataract surgery, was dramatically reduced, and intravitreal injections became a major cause. The change in etiologies, and possibly in the microbial flora, warrants reconsideration of the rules that guided the management of endophthalmitis since the Endophthalmitis Vitrectomy Study.

Original languageEnglish
Pages (from-to)71-77
Number of pages7
JournalEuropean Journal of Ophthalmology
Volume26
Issue number1
DOIs
StatePublished - 19 Jun 2015

Keywords

  • Cataract
  • Endophthalmitis
  • Etiology
  • Injection
  • Intravitreal
  • Treatment

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