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Delayed-onset pseudophakic endophthalmitis.

G M Fox1, B C Joondeph, H W Flynn

  • 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33101.

American Journal of Ophthalmology
|February 25, 1991
PubMed
Summary
This summary is machine-generated.

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Delayed-onset pseudophakic endophthalmitis, often caused by Propionibacterium, can recur but generally has a better visual outcome than acute cases. Prompt diagnosis and treatment are crucial for favorable results.

Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Delayed-onset pseudophakic endophthalmitis is a rare but serious complication following cataract surgery.
  • Early diagnosis and appropriate management are critical for preserving vision.

Purpose of the Study:

  • To investigate the causative organisms, clinical features, treatment outcomes, and visual prognosis of delayed-onset pseudophakic endophthalmitis.

Main Methods:

  • Retrospective review of 19 cases of endophthalmitis diagnosed at least one month post-cataract surgery.
  • Analysis of microbial cultures from intraocular fluids.
  • Evaluation of treatment regimens and final visual acuity.

Main Results:

  • Propionibacterium species were the most common organisms (63%), followed by Candida parapsilosis (16%) and Staphylococcus epidermidis (16%).

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  • Recurrence of inflammation occurred in 12 patients, with positive repeat cultures in ten.
  • 16 out of 19 patients achieved a final visual acuity of 20/400 or better.

    • Conclusions:

    • Delayed-onset pseudophakic endophthalmitis typically involves specific microorganisms and may present with recurrent inflammation.
    • Despite potential recurrences, the visual prognosis for delayed-onset cases is more favorable compared to acute-onset endophthalmitis.