Presenting Characteristics, Treatment, and Visual Outcomes in Streptococcal Compared to Non-Streptococcal Endophthalmitis

Report the clinical findings, risk factors, treatment, and visual outcomes associated with   endophthalmitis in comparison to culture-positive endophthalmitis associated with non-  species. A retrospective chart review of adults between 18 and 89 years of age diagnosed with exogenous culture-positiv...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e65974
Main Authors: Woodward, Richmond, De Luna, Regina, Robbins, Cason B, Feng, Henry L, Stout, Jason E, Fekrat, Sharon
Format: Article
Language:English
Subjects:
Bacteria
Cataracts
Chi-square test
Cornea
Etiology
Eye surgery
Glaucoma
Patients
Statistical analysis
Streptococcus infections
Trauma
Ulcers
Visual acuity
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Summary:Report the clinical findings, risk factors, treatment, and visual outcomes associated with   endophthalmitis in comparison to culture-positive endophthalmitis associated with non-  species. A retrospective chart review of adults between 18 and 89 years of age diagnosed with exogenous culture-positive endophthalmitis between January 1, 2009, and January 1, 2018, at the Duke Eye Center (Durham, North Carolina) with at least six months of follow-up from time of initial diagnosis was conducted. Clinical data including patient demographics, ocular history, baseline corrected visual acuity (VA) prior to presentation, time to presentation, presenting exam findings, VA at presentation, presumed etiology of endophthalmitis, medical and surgical management, and VA at the six-month follow-up was extracted and statistically analyzed. Fifty-six eyes from 56 patients with culture-positive endophthalmitis were identified. Eyes with   (n=18) had elevated intraocular pressure (IOP) at presentation (p=0.002), worse mean VA (Snellen) at presentation (20/14159 vs. 20/3098, p
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.65974