Endophthalmitis following cataract surgery: visual outcomes, microbial spectrum and complications. Issue 3 (20th May 2023)

• Record Type: Journal Article
• Authors: Levin, Hannah J.; Mehta, Maitri S.; Storey, Philip P.; Patel, Samir N.; Kuley, Brandon; Wibbelsman, Turner D.; Obeid, Anthony; Garg, Sunir; Vander, James; Dunn, James P.; Ho, Allen C.
• Is Part Of: Current opinion in ophthalmology. Volume 34:Issue 3(2023)
• Page Start: 237
• Page End: 242
• Publication Date: 2023-05-20
• Subjects: cataract surgery -- endophthalmitis -- intravitreal injection -- ocular microbiome -- pars plana vitrectomy; Ophthalmology -- Periodicals; Eye Diseases -- Indexes; Eye Diseases -- Periodicals; Review Literature -- Indexes; Review Literature -- Periodicals; Vision Disorders -- Indexes; Vision Disorders -- Periodicals; 617.7
• DOI: 10.1097/ICU.0000000000000951
• Languages: English
• ISSNs: 1040-8738

Abstract

Abstract : Purpose of review: The aim of this study was to update visual outcomes, microbial spectrum and complications in eyes with endophthalmitis following cataract surgery. Recent findings: A single-institution, retrospective review of eyes treated for endophthalmitis following cataract surgery between 2 January 2014 and 10 January 2017. This study included 112 cases of endophthalmitis following cataract surgery, 58 of which were culture-positive (51.8%). The most isolated organisms were coagulase-negative Staphylococci (56.9%). Oral flora were present in 17.2% of cases. At 6 months, 71.7% of patients achieved visual acuity of at least 20/200 and 51.7% achieved at least 20/40 or better. Visual acuity was better in culture-negative vs. culture-positive cases (∼20/290 vs. ∼20/80, P = 0.03), and in nonoral flora-associated vs. oral flora-associated culture-positive cases (∼CF vs. ∼20/150, P < 0.01). Summary: Following postcataract surgery endophthalmitis, approximately 70% of eyes achieved vision of 20/200 or better and half achieved vision of 20/40 or better 6 months after treatment. Poor visual outcomes were seen in eyes with positive bacterial cultures and with oral flora.