Endogenous Endophthalmitis : Report of a 10-year Retrospective Study at Buriram Hospital

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Thanit Sirilekanunt

Abstract

Objective: To study clinical features, risk factor and visual outcomes in patients with endogenous endophthalmitis at Buriram hospital
Design: Retrospectivedescriptive study
Methods: Review of medical records of 16 patients with endogenous endophthalmitis, who has medical record between January 2006 – December 2015 at Buriam hospital.
Results: 17 eyes of 16 patients were diagnosed with endogenous endophthalmitis. Patient with underlying disease are 13 from 16 patients. Most common risk factor was diabetes mellitus (54%). Causative organismfrom vitreous were identified 42%of patients. The most common organism in bacterial group were Streptococcus spp.(12%) and klebsella spp.(12%) Source of infection was frequent in arthritis (13%). 11 eyes (65%) obtained no light perception and 6 eyes (35%) with visual acuity less than 20/200. Final visual outcome were poor even with broad spectrum antibiotic treatment. Only 1 eye in this study receive better visual acuity after treatment.
Conclusion: Endogenous endophthalmitis is rare but cause severe visual loss. Prompt diagnosis and intensive intravenous antibiotic are the critical steps in the treatment of endogenous endophthalmitis. The Patients who have severe systemic infection and risk factors such as diabetes should have ocular screening.
Keyword: endogenous endophthalmitis, septicemia, ophthalmology,Buriram,Thailand.

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References

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