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Published on: February 6, 2021
Infectious endophthalmitis: clinical features, management and visual outcomes
Jennifer C Fan1, Rachael L Niederer, Hirut von Lany
1Department of Ophthalmology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Infectious endophthalmitis in New Zealand most often occurs after surgery or eye trauma. Outcomes were not affected by infection type but poor vision and Pacific ethnicity were linked to worse results.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Public Health
Background:
- Infectious endophthalmitis is a serious ocular infection.
- Understanding its clinical features and outcomes is crucial for patient management.
Purpose of the Study:
- To identify the clinical features and outcomes of infectious endophthalmitis in New Zealand.
- To analyze risk factors and associated complications.
Main Methods:
- Retrospective review of patients with presumed infectious endophthalmitis.
- Data collected from Auckland Public Hospital between 1996 and 2004.
Main Results:
- 106 cases of infectious endophthalmitis identified over 9 years.
- Most common causes were perioperative (58.5%) and post-traumatic (18.9%).
- Poor presenting visual acuity and Pacific ethnicity were associated with worse outcomes and increased complications.
Conclusions:
- Perioperative setting is the most common scenario for infectious endophthalmitis.
- Prognosis was not significantly influenced by microbiological isolate or clinical setting.
- Early presentation and intervention are critical, especially for high-risk ethnic groups.
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