Progression of diabetic retinopathy after endophthalmitis
To determine the effect of endophthalmitis on diabetic retinopathy. Noncomparative case series. The records of all consecutive patients with endophthalmitis treated between 1992 and 1997 at the Medical College of Wisconsin were retrospectively reviewed. Those patients with diabetes mellitus were ana...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 1999-04, Vol.106 (4), p.774-781 |
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| container_title | Ophthalmology (Rochester, Minn.) |
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| creator | Dev, Sundeep Pulido, Jose S Tessler, Howard H Mittra, Robert A Han, Dennis P Mieler, William F Connor, Thomas B |
| description | To determine the effect of endophthalmitis on diabetic retinopathy.
Noncomparative case series.
The records of all consecutive patients with endophthalmitis treated between 1992 and 1997 at the Medical College of Wisconsin were retrospectively reviewed. Those patients with diabetes mellitus were analyzed.
From 77 reviewed records, 11 patients (12 eyes; 14%) were identified as diabetics with endophthalmitis and were studied.
Stage of diabetic retinopathy, time to retinopathy progression, and visual acuity.
Mean patient age was 68 years, and mean duration of diabetes was 11.7 years. Mean patient follow-up was 17 months. Of the six cases without evidence of retinopathy before the endophthalmitis, none went on to develop retinopathy. Of six eyes with pre-existing nonproliferative retinopathy, four showed evidence of progression within 6 months of the infection. Three developed severe proliferative disease and macular edema, and one developed severe nonproliferative disease. More patients without pre-existing retinopathy achieved a final visual acuity of 20/40 or greater.
Patients with pre-existing diabetic retinopathy may be at increased risk for rapid retinopathy progression and a poorer visual outcome after endophthalmitis. These results support the concept that inflammation may exacerbate diabetic retinopathy. |
| doi_str_mv | 10.1016/S0161-6420(99)90166-5 |
| format | Article |
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Noncomparative case series.
The records of all consecutive patients with endophthalmitis treated between 1992 and 1997 at the Medical College of Wisconsin were retrospectively reviewed. Those patients with diabetes mellitus were analyzed.
From 77 reviewed records, 11 patients (12 eyes; 14%) were identified as diabetics with endophthalmitis and were studied.
Stage of diabetic retinopathy, time to retinopathy progression, and visual acuity.
Mean patient age was 68 years, and mean duration of diabetes was 11.7 years. Mean patient follow-up was 17 months. Of the six cases without evidence of retinopathy before the endophthalmitis, none went on to develop retinopathy. Of six eyes with pre-existing nonproliferative retinopathy, four showed evidence of progression within 6 months of the infection. Three developed severe proliferative disease and macular edema, and one developed severe nonproliferative disease. More patients without pre-existing retinopathy achieved a final visual acuity of 20/40 or greater.
Patients with pre-existing diabetic retinopathy may be at increased risk for rapid retinopathy progression and a poorer visual outcome after endophthalmitis. These results support the concept that inflammation may exacerbate diabetic retinopathy.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/S0161-6420(99)90166-5</identifier><identifier>PMID: 10201602</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Associated diseases and complications ; Biological and medical sciences ; Diabetes. Impaired glucose tolerance ; Diabetic Retinopathy - physiopathology ; Disease Progression ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Endophthalmitis - microbiology ; Endophthalmitis - physiopathology ; Endophthalmitis - therapy ; Female ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Middle Aged ; Retrospective Studies ; Time Factors ; Visual Acuity</subject><ispartof>Ophthalmology (Rochester, Minn.), 1999-04, Vol.106 (4), p.774-781</ispartof><rights>1999 American Academy of Ophthalmology, Inc.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-9542c8e5b7aa05b4926d3577e6089d47a56ac28540483939b51cc3bd179d0c23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0161-6420(99)90166-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1738522$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10201602$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dev, Sundeep</creatorcontrib><creatorcontrib>Pulido, Jose S</creatorcontrib><creatorcontrib>Tessler, Howard H</creatorcontrib><creatorcontrib>Mittra, Robert A</creatorcontrib><creatorcontrib>Han, Dennis P</creatorcontrib><creatorcontrib>Mieler, William F</creatorcontrib><creatorcontrib>Connor, Thomas B</creatorcontrib><title>Progression of diabetic retinopathy after endophthalmitis</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>To determine the effect of endophthalmitis on diabetic retinopathy.
Noncomparative case series.
The records of all consecutive patients with endophthalmitis treated between 1992 and 1997 at the Medical College of Wisconsin were retrospectively reviewed. Those patients with diabetes mellitus were analyzed.
From 77 reviewed records, 11 patients (12 eyes; 14%) were identified as diabetics with endophthalmitis and were studied.
Stage of diabetic retinopathy, time to retinopathy progression, and visual acuity.
Mean patient age was 68 years, and mean duration of diabetes was 11.7 years. Mean patient follow-up was 17 months. Of the six cases without evidence of retinopathy before the endophthalmitis, none went on to develop retinopathy. Of six eyes with pre-existing nonproliferative retinopathy, four showed evidence of progression within 6 months of the infection. Three developed severe proliferative disease and macular edema, and one developed severe nonproliferative disease. More patients without pre-existing retinopathy achieved a final visual acuity of 20/40 or greater.
Patients with pre-existing diabetic retinopathy may be at increased risk for rapid retinopathy progression and a poorer visual outcome after endophthalmitis. These results support the concept that inflammation may exacerbate diabetic retinopathy.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Associated diseases and complications</subject><subject>Biological and medical sciences</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Retinopathy - physiopathology</subject><subject>Disease Progression</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Endophthalmitis - microbiology</subject><subject>Endophthalmitis - physiopathology</subject><subject>Endophthalmitis - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Visual Acuity</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1LwzAUhoMobk5_gtILEb2oJs1HmyuR4RcMFNx9SJNTF2mbmXTC_r3dOtQ7b04I53lzTh6ETgm-JpiIm7e-kFSwDF9KeSX7m0j5HhoTzmTKckL30fgHGaGjGD8wxkJQdohGBGd9D2djJF-Dfw8Qo_Nt4qvEOl1C50wS-tr6pe4W60RXHYQEWuuXi26h68Z1Lh6jg0rXEU525wTNH-7n06d09vL4PL2bpYYVvEslZ5kpgJe51piXTGbCUp7nIHAhLcs1F9pkBWeYFVRSWXJiDC0tyaXFJqMTdDE8uwz-cwWxU42LBupat-BXUQkpCib6f00QH0ATfIwBKrUMrtFhrQhWG2Vqq0xtfCgp1VaZ4n3ubDdgVTZg_6QGRz1wvgN0NLqugm6Ni79cTguebbDbAYNexpeDoKJx0BqwLoDplPXun02-AXvXhwg</recordid><startdate>19990401</startdate><enddate>19990401</enddate><creator>Dev, Sundeep</creator><creator>Pulido, Jose S</creator><creator>Tessler, Howard H</creator><creator>Mittra, Robert A</creator><creator>Han, Dennis P</creator><creator>Mieler, William F</creator><creator>Connor, Thomas B</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990401</creationdate><title>Progression of diabetic retinopathy after endophthalmitis</title><author>Dev, Sundeep ; Pulido, Jose S ; Tessler, Howard H ; Mittra, Robert A ; Han, Dennis P ; Mieler, William F ; Connor, Thomas B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c485t-9542c8e5b7aa05b4926d3577e6089d47a56ac28540483939b51cc3bd179d0c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Associated diseases and complications</topic><topic>Biological and medical sciences</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Retinopathy - physiopathology</topic><topic>Disease Progression</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Endophthalmitis - microbiology</topic><topic>Endophthalmitis - physiopathology</topic><topic>Endophthalmitis - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dev, Sundeep</creatorcontrib><creatorcontrib>Pulido, Jose S</creatorcontrib><creatorcontrib>Tessler, Howard H</creatorcontrib><creatorcontrib>Mittra, Robert A</creatorcontrib><creatorcontrib>Han, Dennis P</creatorcontrib><creatorcontrib>Mieler, William F</creatorcontrib><creatorcontrib>Connor, Thomas B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dev, Sundeep</au><au>Pulido, Jose S</au><au>Tessler, Howard H</au><au>Mittra, Robert A</au><au>Han, Dennis P</au><au>Mieler, William F</au><au>Connor, Thomas B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Progression of diabetic retinopathy after endophthalmitis</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>1999-04-01</date><risdate>1999</risdate><volume>106</volume><issue>4</issue><spage>774</spage><epage>781</epage><pages>774-781</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>To determine the effect of endophthalmitis on diabetic retinopathy.
Noncomparative case series.
The records of all consecutive patients with endophthalmitis treated between 1992 and 1997 at the Medical College of Wisconsin were retrospectively reviewed. Those patients with diabetes mellitus were analyzed.
From 77 reviewed records, 11 patients (12 eyes; 14%) were identified as diabetics with endophthalmitis and were studied.
Stage of diabetic retinopathy, time to retinopathy progression, and visual acuity.
Mean patient age was 68 years, and mean duration of diabetes was 11.7 years. Mean patient follow-up was 17 months. Of the six cases without evidence of retinopathy before the endophthalmitis, none went on to develop retinopathy. Of six eyes with pre-existing nonproliferative retinopathy, four showed evidence of progression within 6 months of the infection. Three developed severe proliferative disease and macular edema, and one developed severe nonproliferative disease. More patients without pre-existing retinopathy achieved a final visual acuity of 20/40 or greater.
Patients with pre-existing diabetic retinopathy may be at increased risk for rapid retinopathy progression and a poorer visual outcome after endophthalmitis. These results support the concept that inflammation may exacerbate diabetic retinopathy.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10201602</pmid><doi>10.1016/S0161-6420(99)90166-5</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Aged, 80 and over Associated diseases and complications Biological and medical sciences Diabetes. Impaired glucose tolerance Diabetic Retinopathy - physiopathology Disease Progression Endocrine pancreas. Apud cells (diseases) Endocrinopathies Endophthalmitis - microbiology Endophthalmitis - physiopathology Endophthalmitis - therapy Female Follow-Up Studies Humans Male Medical sciences Middle Aged Retrospective Studies Time Factors Visual Acuity |
| title | Progression of diabetic retinopathy after endophthalmitis |
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