Bacterial endophthalmitis in the age of outpatient intravitreal therapies and cataract surgeries: Host–microbe interactions in intraocular infection

Bacterial endophthalmitis is a sight threatening infection of the interior structures of the eye. Incidence in the US has increased in recent years, which appears to be related to procedures being performed on an aging population. The advent of outpatient intravitreal therapy for management of age-r...

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Veröffentlicht in:Progress in retinal and eye research 2012-07, Vol.31 (4), p.316-331
Hauptverfasser: Sadaka, Ama, Durand, Marlene L., Gilmore, Michael S.
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container_title Progress in retinal and eye research
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creator Sadaka, Ama
Durand, Marlene L.
Gilmore, Michael S.
description Bacterial endophthalmitis is a sight threatening infection of the interior structures of the eye. Incidence in the US has increased in recent years, which appears to be related to procedures being performed on an aging population. The advent of outpatient intravitreal therapy for management of age-related macular degeneration raises yet additional risks. Compounding the problem is the continuing progression of antibiotic resistance. Visual prognosis for endophthalmitis depends on the virulence of the causative organism, the severity of intraocular inflammation, and the timeliness of effective therapy. We review the current understanding of the pathogenesis of bacterial endophthalmitis, highlighting opportunities for the development of improved therapeutics and preventive strategies.
doi_str_mv 10.1016/j.preteyeres.2012.03.004
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Anti-Bacterial Agents - therapeutic use
Bacillus
Cataract Extraction - adverse effects
Coagulase-negative staphylococci
Endophthalmitis
Endophthalmitis - drug therapy
Endophthalmitis - microbiology
Enterococcus faecalis
Eye Infections, Bacterial - drug therapy
Eye Infections, Bacterial - microbiology
Humans
Immunosuppressive Agents - therapeutic use
Intravitreal Injections - adverse effects
Staphylococcus aureus
Steroids - therapeutic use
Streptococcus pneumoniae
title Bacterial endophthalmitis in the age of outpatient intravitreal therapies and cataract surgeries: Host–microbe interactions in intraocular infection
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