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Indian J Ophthalmol ; 56(2): 157-8, 2008.
Article in English | MEDLINE | ID: mdl-18292632

ABSTRACT

The purpose of this study was to determine clinical presentation, microbiological spectrum and visual outcome of cluster endophthalmitis patients after cataract surgery in central India. The records of cluster endophthalmitis patients were retrospectively reviewed. Three clusters of patients were identified who had undergone vitreous biopsy followed by three-port pars plana vitrectomy with intraocular antibiotics and steroids. Good visual outcome was seen in eight (33%) of 24 patients. Six patients had corneal infiltration. Smear positivity was 58% and culture positivity was 42%. There was significant association ( P P = 0.006) with poor visual outcome. The association between type of surgery ( P = 0.6), duration of symptoms ( P = 0.64) and corneal infiltration ( P = 0.06) with visual outcome was not significant. Pseudomonas aeruginosa was the organism isolated in vitreous cultures. Thirty three percent patients benefit after appropriate vitreoretinal intervention in cluster endophthalmitis.


Subject(s)
Cataract Extraction , Endophthalmitis/epidemiology , Eye Infections, Bacterial/epidemiology , Postoperative Complications , Pseudomonas Infections/epidemiology , Visual Acuity/physiology , Adult , Aged , Anti-Bacterial Agents/therapeutic use , Bacteriological Techniques , Biopsy , Cluster Analysis , Combined Modality Therapy , Endophthalmitis/diagnosis , Endophthalmitis/therapy , Eye Infections, Bacterial/diagnosis , Eye Infections, Bacterial/therapy , Female , Humans , India/epidemiology , Male , Middle Aged , Pseudomonas Infections/diagnosis , Pseudomonas Infections/therapy , Pseudomonas aeruginosa/isolation & purification , Retrospective Studies , Vitrectomy , Vitreous Body/microbiology
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