Concurrent Endophthalmitis and Retinal Detachment
Conclusions: Eyes with concurrent endophthalmitis and retinal detachment usually have a poor anatomic and visual outcome after treatment. The purpose of this study is to define the relation among the causative organism, the results of retinal detachment repair, and the final visual acuity. Methods:...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 1994-03, Vol.101 (3), p.490-498 |
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| creator | Foster, Robert E. Rubsamen, Patrick E. Joondeph, Brian C. Flynn, Harry W. Smiddy, William S. |
| description | Conclusions: Eyes with concurrent endophthalmitis and retinal detachment usually have a poor anatomic and visual outcome after treatment. The purpose of this study is to define the relation among the causative organism, the results of retinal detachment repair, and the final visual acuity.
Methods: Data were retrieved by a retrospective, computer-assisted review of the coded inpatient diagnoses from April 1987 through March 1992.
Results: This study included 16 patients (9 males, 7 females) ranging in age from 5 to 88 years (average, 58.7 years). Endophthalmitis was classified as exogenous in 13 (81%) patients and endogenous in 3 (19%). Two groups were identified: a virulent group that included eight (50%) patients (Staphylococcus aureus, streptococci, gramnegative, Bacillus), and a less-virulent group that included eight (50%) patients (Staphylococcus epidermidis, Propionibacterium acnes, fungal). The initial surgical procedure consisted of diagnostic vitreous fluid collection by pars plana vitrectomy (11 cases), anterior vitrectomy (1 case), or vitreous aspiration (4 cases). Additional initial adjunctive surgical procedures included pars plana lensectomy (2 cases), sclera) buckling (6 cases), fluid-gas exchange (7 cases), and intraocular antibiotic injections (9 cases). In six (75%) of eight patients with endophthalmitis in the virulent group, the retina remained detached. However, in seven (88%) of eight patients with endophthalmitis in the less-virulent group, the retina remained reattached postoperatively, and the remaining patient had a stable, nonprogressive peripheral tractional retinal detachment. None of the eight patients with endophthalmitis in the virulent group retained a postoperative visual acuity of better than 3/200, and four (50%) lost all light perception. Five (62%) of the eight patients with endophthalmitis in the less-virulent group retained a postoperative visual acuity of 5/ 200 or better, and none lost all light perception.
Conclusions: Concurrent endophthalmitis and retinal detachment patients with virulent organisms have a poor prognosis. Visual and anatomic outcomes were better in the less-virulent group. |
| doi_str_mv | 10.1016/S0161-6420(94)31308-X |
| format | Article |
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Methods: Data were retrieved by a retrospective, computer-assisted review of the coded inpatient diagnoses from April 1987 through March 1992.
Results: This study included 16 patients (9 males, 7 females) ranging in age from 5 to 88 years (average, 58.7 years). Endophthalmitis was classified as exogenous in 13 (81%) patients and endogenous in 3 (19%). Two groups were identified: a virulent group that included eight (50%) patients (Staphylococcus aureus, streptococci, gramnegative, Bacillus), and a less-virulent group that included eight (50%) patients (Staphylococcus epidermidis, Propionibacterium acnes, fungal). The initial surgical procedure consisted of diagnostic vitreous fluid collection by pars plana vitrectomy (11 cases), anterior vitrectomy (1 case), or vitreous aspiration (4 cases). Additional initial adjunctive surgical procedures included pars plana lensectomy (2 cases), sclera) buckling (6 cases), fluid-gas exchange (7 cases), and intraocular antibiotic injections (9 cases). In six (75%) of eight patients with endophthalmitis in the virulent group, the retina remained detached. However, in seven (88%) of eight patients with endophthalmitis in the less-virulent group, the retina remained reattached postoperatively, and the remaining patient had a stable, nonprogressive peripheral tractional retinal detachment. None of the eight patients with endophthalmitis in the virulent group retained a postoperative visual acuity of better than 3/200, and four (50%) lost all light perception. Five (62%) of the eight patients with endophthalmitis in the less-virulent group retained a postoperative visual acuity of 5/ 200 or better, and none lost all light perception.
Conclusions: Concurrent endophthalmitis and retinal detachment patients with virulent organisms have a poor prognosis. Visual and anatomic outcomes were better in the less-virulent group.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/S0161-6420(94)31308-X</identifier><identifier>PMID: 8127569</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bacterial diseases ; Bacterial diseases of the eye and orbit ; Biological and medical sciences ; Cataract Extraction ; Child, Preschool ; Endophthalmitis - complications ; Endophthalmitis - microbiology ; Eye Infections, Bacterial - complications ; Female ; Human bacterial diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Ophthalmology ; Prognosis ; Retinal Detachment - complications ; Retinal Detachment - surgery ; Retrospective Studies ; Scleral Buckling ; Uvea diseases ; Visual Acuity ; Vitrectomy</subject><ispartof>Ophthalmology (Rochester, Minn.), 1994-03, Vol.101 (3), p.490-498</ispartof><rights>1994 American Academy of Ophthalmology, Inc</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-62d7c910c2b647246119928ba636dc5dc536d39ad48122adedda92c39b910d533</citedby><cites>FETCH-LOGICAL-c488t-62d7c910c2b647246119928ba636dc5dc536d39ad48122adedda92c39b910d533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S016164209431308X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3980161$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8127569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Foster, Robert E.</creatorcontrib><creatorcontrib>Rubsamen, Patrick E.</creatorcontrib><creatorcontrib>Joondeph, Brian C.</creatorcontrib><creatorcontrib>Flynn, Harry W.</creatorcontrib><creatorcontrib>Smiddy, William S.</creatorcontrib><title>Concurrent Endophthalmitis and Retinal Detachment</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>Conclusions: Eyes with concurrent endophthalmitis and retinal detachment usually have a poor anatomic and visual outcome after treatment. The purpose of this study is to define the relation among the causative organism, the results of retinal detachment repair, and the final visual acuity.
Methods: Data were retrieved by a retrospective, computer-assisted review of the coded inpatient diagnoses from April 1987 through March 1992.
Results: This study included 16 patients (9 males, 7 females) ranging in age from 5 to 88 years (average, 58.7 years). Endophthalmitis was classified as exogenous in 13 (81%) patients and endogenous in 3 (19%). Two groups were identified: a virulent group that included eight (50%) patients (Staphylococcus aureus, streptococci, gramnegative, Bacillus), and a less-virulent group that included eight (50%) patients (Staphylococcus epidermidis, Propionibacterium acnes, fungal). The initial surgical procedure consisted of diagnostic vitreous fluid collection by pars plana vitrectomy (11 cases), anterior vitrectomy (1 case), or vitreous aspiration (4 cases). Additional initial adjunctive surgical procedures included pars plana lensectomy (2 cases), sclera) buckling (6 cases), fluid-gas exchange (7 cases), and intraocular antibiotic injections (9 cases). In six (75%) of eight patients with endophthalmitis in the virulent group, the retina remained detached. However, in seven (88%) of eight patients with endophthalmitis in the less-virulent group, the retina remained reattached postoperatively, and the remaining patient had a stable, nonprogressive peripheral tractional retinal detachment. None of the eight patients with endophthalmitis in the virulent group retained a postoperative visual acuity of better than 3/200, and four (50%) lost all light perception. Five (62%) of the eight patients with endophthalmitis in the less-virulent group retained a postoperative visual acuity of 5/ 200 or better, and none lost all light perception.
Conclusions: Concurrent endophthalmitis and retinal detachment patients with virulent organisms have a poor prognosis. Visual and anatomic outcomes were better in the less-virulent group.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the eye and orbit</subject><subject>Biological and medical sciences</subject><subject>Cataract Extraction</subject><subject>Child, Preschool</subject><subject>Endophthalmitis - complications</subject><subject>Endophthalmitis - microbiology</subject><subject>Eye Infections, Bacterial - complications</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Prognosis</subject><subject>Retinal Detachment - complications</subject><subject>Retinal Detachment - surgery</subject><subject>Retrospective Studies</subject><subject>Scleral Buckling</subject><subject>Uvea diseases</subject><subject>Visual Acuity</subject><subject>Vitrectomy</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKAzEUhoMotVYfQZiFiC5Gc5vMZCVS6wUKghfoLmSSlEZmMjXJCL69mbZ0K4Scxfn-cw4fAOcI3iCI2O17-lDOKIZXnF4TRGCVLw7AGBWU57RE5BCM98gxOAnhC0LIGKEjMKoQLgvGxwBNO6d6742L2czpbr2KK9m0NtqQSaezNxOtk032YKJUqzZhp-BoKZtgznZ1Aj4fZx_T53z--vQyvZ_nilZVzBnWpeIIKlwzWmLKEOIcV7VkhGlVpJcq4VLTdAuW2mgtOVaE1ymkC0Im4HI7d-27796EKFoblGka6UzXB1EywjGjA1hsQeW7ELxZirW3rfS_AkExqBIbVWLwIDgVG1VikXLnuwV93Rq9T-3cpP7Fri-Dks3SS6ds2GOEV8PYhN1tMZNk_FjjRVDWOGW09UZFoTv7zyF_HVyENw</recordid><startdate>19940301</startdate><enddate>19940301</enddate><creator>Foster, Robert E.</creator><creator>Rubsamen, Patrick E.</creator><creator>Joondeph, Brian C.</creator><creator>Flynn, Harry W.</creator><creator>Smiddy, William S.</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>19940301</creationdate><title>Concurrent Endophthalmitis and Retinal Detachment</title><author>Foster, Robert E. ; Rubsamen, Patrick E. ; Joondeph, Brian C. ; Flynn, Harry W. ; Smiddy, William S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-62d7c910c2b647246119928ba636dc5dc536d39ad48122adedda92c39b910d533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the eye and orbit</topic><topic>Biological and medical sciences</topic><topic>Cataract Extraction</topic><topic>Child, Preschool</topic><topic>Endophthalmitis - complications</topic><topic>Endophthalmitis - microbiology</topic><topic>Eye Infections, Bacterial - complications</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Prognosis</topic><topic>Retinal Detachment - complications</topic><topic>Retinal Detachment - surgery</topic><topic>Retrospective Studies</topic><topic>Scleral Buckling</topic><topic>Uvea diseases</topic><topic>Visual Acuity</topic><topic>Vitrectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Foster, Robert E.</creatorcontrib><creatorcontrib>Rubsamen, Patrick E.</creatorcontrib><creatorcontrib>Joondeph, Brian C.</creatorcontrib><creatorcontrib>Flynn, Harry W.</creatorcontrib><creatorcontrib>Smiddy, William S.</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>Foster, Robert E.</au><au>Rubsamen, Patrick E.</au><au>Joondeph, Brian C.</au><au>Flynn, Harry W.</au><au>Smiddy, William S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Concurrent Endophthalmitis and Retinal Detachment</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>1994-03-01</date><risdate>1994</risdate><volume>101</volume><issue>3</issue><spage>490</spage><epage>498</epage><pages>490-498</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>Conclusions: Eyes with concurrent endophthalmitis and retinal detachment usually have a poor anatomic and visual outcome after treatment. The purpose of this study is to define the relation among the causative organism, the results of retinal detachment repair, and the final visual acuity.
Methods: Data were retrieved by a retrospective, computer-assisted review of the coded inpatient diagnoses from April 1987 through March 1992.
Results: This study included 16 patients (9 males, 7 females) ranging in age from 5 to 88 years (average, 58.7 years). Endophthalmitis was classified as exogenous in 13 (81%) patients and endogenous in 3 (19%). Two groups were identified: a virulent group that included eight (50%) patients (Staphylococcus aureus, streptococci, gramnegative, Bacillus), and a less-virulent group that included eight (50%) patients (Staphylococcus epidermidis, Propionibacterium acnes, fungal). The initial surgical procedure consisted of diagnostic vitreous fluid collection by pars plana vitrectomy (11 cases), anterior vitrectomy (1 case), or vitreous aspiration (4 cases). Additional initial adjunctive surgical procedures included pars plana lensectomy (2 cases), sclera) buckling (6 cases), fluid-gas exchange (7 cases), and intraocular antibiotic injections (9 cases). In six (75%) of eight patients with endophthalmitis in the virulent group, the retina remained detached. However, in seven (88%) of eight patients with endophthalmitis in the less-virulent group, the retina remained reattached postoperatively, and the remaining patient had a stable, nonprogressive peripheral tractional retinal detachment. None of the eight patients with endophthalmitis in the virulent group retained a postoperative visual acuity of better than 3/200, and four (50%) lost all light perception. Five (62%) of the eight patients with endophthalmitis in the less-virulent group retained a postoperative visual acuity of 5/ 200 or better, and none lost all light perception.
Conclusions: Concurrent endophthalmitis and retinal detachment patients with virulent organisms have a poor prognosis. Visual and anatomic outcomes were better in the less-virulent group.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8127569</pmid><doi>10.1016/S0161-6420(94)31308-X</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ophthalmology (Rochester, Minn.), 1994-03, Vol.101 (3), p.490-498 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Bacterial diseases Bacterial diseases of the eye and orbit Biological and medical sciences Cataract Extraction Child, Preschool Endophthalmitis - complications Endophthalmitis - microbiology Eye Infections, Bacterial - complications Female Human bacterial diseases Humans Infectious diseases Male Medical sciences Middle Aged Ophthalmology Prognosis Retinal Detachment - complications Retinal Detachment - surgery Retrospective Studies Scleral Buckling Uvea diseases Visual Acuity Vitrectomy |
| title | Concurrent Endophthalmitis and Retinal Detachment |
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