Infectious endophthalmitis: clinical features, management and visual outcomes

2008 ◽  
Author(s):  
Jennifer C Fan ◽  
Rachael L Niederer ◽  
Hirut von Lany ◽  
Philip J Polkinghorne
Keyword(s):  
Clinical Features ◽  
Visual Outcomes ◽  
Infectious Endophthalmitis

Clinical features, management and visual outcomes on patients with traumatic hyphema in a reference ophthalmological clinic in Colombia

2020 ◽  
Vol 64 (1) ◽  
pp. 28-34
Author(s):  
Virgilio Galvis ◽  
Angelica Pedraza-Concha ◽  
Alejandro Tello ◽  
M. Lina Plata ◽  
C. Luis Escaf ◽  
...  
Keyword(s):  
Clinical Features ◽  
Visual Outcomes

scholarly journals Atypical Microbiological Feature of Infectious Endophthalmitis on Jeju Island: A 10-Year Study at a Single Tertiary Referral Center

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Joong Hyun Park ◽  
Dong Yoon Kim ◽  
Ahnul Ha ◽  
Dae Joong Ma ◽  
Hye Jin Lee ◽  
...  
Keyword(s):  
Clinical Manifestations ◽  
Predisposing Factors ◽  
Jeju Island ◽  
Achromobacter Xylosoxidans ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Referral Center ◽  
Visual Outcomes ◽  
Exogenous Endophthalmitis ◽  
Infectious Endophthalmitis

Background. To analyze the microbiological causes of infectious endophthalmitis on an isolated island over ten years. Methods. A retrospective review of the medical records of 49 eyes clinically diagnosed with infectious endophthalmitis between January 2009 and December 2018 was done. The subjects were recruited from a single tertiary referral center on Jeju Island. The baseline characteristics of all subjects were investigated, and a culture examination was performed. The isolated pathogens were analyzed to determine how their microbiological features differed from those in regions with different geographical conditions. Results. Of the 49 eyes, causative microorganisms were identified in 27 eyes (55.1%). Bacteria were found in 24 cases and fungi in 3 cases. Among the exogenous causes, Staphylococcus species (Staphylococcus aureus, S. epidermidis, and S. hominis) were the most common pathogens (7 cases). Achromobacter xylosoxidans was the second most common causative pathogen (4 cases) followed by Moraxella species (3 cases). The most frequent endogenous origin was due to Klebsiella pneumoniae (6 cases). The subjects were divided into two groups according to the treatment results and analyzed for predisposing factors related to visual outcomes. The presence of diabetes mellitus ( P  = 0.038) and initial visual acuity ( P  ≤ 0.001) were significant predisposing factors for visual outcomes. Conclusion. The causative microorganisms of endogenous endophthalmitis on Jeju Island were not different from those reported previously. However, isolated exogenous microorganisms were different from those reported in other studies from inland areas. A high incidence and atypical clinical features of Achromobacter xylosoxidans and Moraxella in exogenous endophthalmitis were observed, reflective of the distinct climatic features of Jeju Island: high humidity and temperature. Therefore, considering the causative microorganisms of exogenous endophthalmitis, it may be assumed that the causative microorganisms of exogenous endophthalmitis and its clinical manifestations differ according to the region.

Clinical features and visual outcomes of 111 patients with new-onset acute Vogt-Koyanagi-Harada disease treated with pulse intravenous corticosteroids

2018 ◽  
Vol 103 (2) ◽  
pp. 274-278 ◽  
Author(s):  
Makiko Nakayama ◽  
Hiroshi Keino ◽  
Takayo Watanabe ◽  
Annabelle A Okada
Keyword(s):  
Clinical Features ◽  
Serous Retinal Detachment ◽  
Corticosteroid Treatment ◽  
Japanese Patients ◽  
Systemic Complications ◽  
Visual Outcomes ◽  
Number Of Patients ◽  
Clinical Records ◽  
Vkh Disease ◽  
New Onset

PurposeTo describe the clinical features, treatment and visual outcomes of Japanese patients with new-onset acute Vogt-Koyanagi-Harada (VKH) disease.MethodsClinical records of 111 patients who presented between 1999 and 2015 to the Ocular Inflammation Service of the Kyorin Eye Center, Tokyo, were reviewed.ResultsOf the 111 patients (68 women, 43 men), 16 had complete, 90 had incomplete and 5 had probable VKH disease. The median follow-up period was 36 months (4–175 months). The mean age at presentation was 41 years (19–74 years). Serous retinal detachment (202 eyes) and optic disc hyperaemia (89 eyes) were observed at presentation. Of the patients tested, 45/48 (93.8%) were human leucocyte antigen-DR4 positive and 63/77 (81.8%) had cerebrospinal fluid pleocytosis. Initial corticosteroid treatment consisted of pulse intravenous therapy in all patients. Sunset glow fundus was observed in 49.5% of eyes, and anterior and/or posterior segment recurrence of inflammation was observed in 25 patients (22.5%). Treatment was transitioned to cyclosporine in 17 patients (15.3%) for steroid sparing (6 patients) or recurrent inflammation (11 patients), with good subsequent control. Ocular complications were observed in 47 of 222 eyes (21.2%) (mostly cataract), and systemic complications were observed in 8.1% of patients (mostly hypertension and diabetes mellitus). Ninety-three percent of eyes (167 of 178 eyes) had a visual acuity of ≥1.0 at 1 year after presentation.ConclusionsAn aggressive corticosteroid treatment strategy in a large number of patients with new-onset acute VKH disease, with transitioning to cyclosporine in selected cases, resulted in excellent visual outcomes and low rates of recurrence.

Clinical features and visual outcomes of Japanese patients with scleritis

2010 ◽  
Vol 94 (11) ◽  
pp. 1459-1463 ◽  
Author(s):  
H. Keino ◽  
T. Watanabe ◽  
W. Taki ◽  
C. Nakashima ◽  
A. A. Okada
Keyword(s):  
Clinical Features ◽  
Japanese Patients ◽  
Visual Outcomes

scholarly journals Post-traumatic endophthalmitis caused by streptococcus species in preschool children: clinical features, antibiotic susceptibilities and outcomes

Eye ◽  
2021 ◽  
Author(s):  
Yao Yang ◽  
Wenjun Sui ◽  
Fang Duan ◽  
Yujie Li ◽  
Jieting Zeng ◽  
...  
Keyword(s):  
Preschool Children ◽  
Clinical Features ◽  
Silicone Oil ◽  
Age Groups ◽  
Common Cause ◽  
Visual Outcomes ◽  
Antibiotic Susceptibilities ◽  
Post Traumatic ◽  
Silicone Oil Tamponade ◽  
Viridans Group Streptococci

Abstract Background/Objectives Streptococcus is a common cause of post-traumatic endophthalmitis in children. This study aimed to analyse the clinical features, antibiotic susceptibilities and outcomes of traumatic endophthalmitis caused by streptococcus in preschool children. Subjects/Methods Patients aged ≤6 years with traumatic streptococcal endophthalmitis seen at Zhongshan Ophthalmic Center between January 2013 and December 2018 were included in this retrospective study. Results In total, 21 patients (21 eyes) were included. The mean age of the patients was 3.3 ± 1.7 years, where 57.1% were males. Scissors (28.6%, n = 6) were the most common cause of injury; 86.7% of patients were injured at home. Zone I (80.9%) was the most common wound site; 90.5% of patients presented with a traumatic cataract. In general, Streptococcus pneumoniae (47.6%) was the most common isolate. Viridans group streptococci accounted for 58.3% of cases in children aged 0–3 years, while S. pneumoniae accounted for 66.7% of cases in children aged 4–6 years. The susceptibility rates of streptococcus to cefuroxime, levofloxacin and ofloxacin were 100%, 95.0% and 90.5%, respectively. Although all the patients underwent vitrectomy combined with silicone oil tamponade, the final visual outcomes were no better than counting fingers. Conclusions Although S. pneumoniae was the most prevalent organism in general, the dominant species varied between different age groups. The commonly used antibiotics, cefuroxime and fluoroquinolone, showed higher antibiotic susceptibility. Despite prompt treatment, the visual outcomes of paediatric post-traumatic endophthalmitis in preschool children were poor.

scholarly journals Clinical features of infectious endophthalmitis in South Korea: a five-year multicenter study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Ki Yup Nam ◽  
Joo Eun Lee ◽  
Ji Eun Lee ◽  
Woo Jin Jeung ◽  
Jung Min Park ◽  
...  
Keyword(s):  
South Korea ◽  
Clinical Features ◽  
Multicenter Study ◽  
Infectious Endophthalmitis

LONG-TERM VISUAL OUTCOMES AND CLINICAL FEATURES AFTER ANTI–VASCULAR ENDOTHELIAL GROWTH FACTOR INJECTION–RELATED ENDOPHTHALMITIS

Retina ◽  
2019 ◽  
Vol 39 (11) ◽  
pp. 2070-2076 ◽  
Author(s):  
Nadim Rayess ◽  
Anthony Obeid ◽  
Philip P. Storey ◽  
Joseph Juliano ◽  
Ehsan Rahimy ◽  
...  
Keyword(s):  
Vascular Endothelial Growth Factor ◽  
Growth Factor ◽  
Clinical Features ◽  
Vascular Endothelial ◽  
Visual Outcomes ◽  
Endothelial Growth Factor
Sign in / Sign up

Export Citation Format

Share Document