Mortality after endophthalmitis following contemporary phacoemulsification cataract surgery. (10th May 2018)

• Record Type: Journal Article
• Authors: Crosby, Niall; Polkinghorne, Philip J; Kim, Bia; McGhee, Charles NJ; Welch, Sarah; Riley, Andrew
• Is Part Of: Clinical & experimental ophthalmology. Volume 46:Number 8(2018)
• Page Start: 903
• Page End: 907
• Publication Date: 2018-05-10
• Subjects: cataract surgery -- endophthalmitis -- microbiology -- mortality; Ophthalmology -- Periodicals; 617.7
• DOI: 10.1111/ceo.13305
• Languages: English
• ISSNs: 1442-6404

Abstract

Abstract: Importance: To determine if endophthalmitis following cataract surgery is linked to increased mortality. Background: Increased mortality has been linked to patients with cataract and cataract surgery. We tested the hypothesis that post‐cataract endophthalmitis has a greater risk of death than pseudophakes who do not develop this complication. Design: Case–control study conducted in a tertiary public hospital. Participants: The study group comprised 50 consecutive patients with post‐cataract endophthalmitis, and these were matched with selected controls. Methods: Patients with endophthalmitis following cataract surgery were identified from a prospective electronic surgical database. Subsequently, it was determined if the patient was deceased at the time of sequestration (September 2015), and the date of death was recorded. A previously described population who had undergone cataract surgery in the same facility was selected as a control group, and the population was case‐matched in terms age, gender, presence or absence of diabetes and/or hypertension. Main Outcome Measures: The median survival rates were determined for the control group and the patients with post‐cataract endophthalmitis. Results: Fifty patients were identified as undergoing endophthalmitis post‐cataract surgery, and 48 ( n = 48) met inclusion criteria (mean age 72 years ±12 SD with 30:18 F:M); 17% were diabetic, and 50% had systemic hypertension. No statistically significant difference in median survival between the study and control cases was identified (100 months (95% confidence interval 86–114) vs. 106 months (95% confidence interval 66–146), respectively, P = 0.756). Conclusions and Relevance: Post‐cataract endophthalmitis was not associated with an increased rate of mortality in this study.