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Endophthalmitis caused by anaerobic bacteria
Indian Journal of Ophthalmology
|December 1, 1995
Summary
This study found that pars plana vitrectomy achieved anatomic success in 63.6% and functional success in 54.6% of patients with anaerobic bacterial endophthalmitis. Poor preoperative vision correlated with worse outcomes.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Endophthalmitis is a severe intraocular infection that can lead to vision loss.
- Anaerobic bacteria are an uncommon but serious cause of endophthalmitis.
- Pars plana vitrectomy is a surgical approach used to treat endophthalmitis.
Purpose of the Study:
- To evaluate the outcomes of pars plana vitrectomy in patients with culture-proven anaerobic bacterial endophthalmitis.
- To identify factors associated with successful treatment outcomes.
Main Methods:
- Retrospective analysis of 22 patients undergoing pars plana vitrectomy for anaerobic bacterial endophthalmitis.
- Anatomic success defined as infection elimination with attached retina.
- Functional success defined as recovery of ambulatory vision (≥2/60).
Main Results:
- Anatomic success was achieved in 14 (63.6%) eyes.
- Functional success was achieved in 12 (54.6%) eyes.
- Poor preoperative visual acuity was significantly associated with poorer functional outcomes (p < 0.046).
Conclusions:
- Pars plana vitrectomy can be effective in treating anaerobic bacterial endophthalmitis.
- Routine anaerobic cultures of intraocular specimens are recommended for endophthalmitis cases.
- Preoperative visual acuity is a critical prognostic factor for functional recovery.