A cluster of patients with acute-onset endophthalmitis following cataract surgery

Nauman A. Chaudhry, Alejandro J. Lavaque, Ingrid U. Scott, Harry W Flynn, Peter E. Liggett

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVE: To describe a cluster of patients who had acute-onset endophthalmitis following cataract surgery. PATIENTS AND METHODS. Ten patients with endophthalmitis following cataract surgery who were referred from three different anterior segment surgeons were evaluated. RESULTS: Presenting visual acuities ranged from 20/30 to light perception (median, 20/80). All 10 eyes demonstrated vitritis, 8 of 10 eyes had hypopyon, and the remaining 2 eyes had significant anterior segment fibrin. All patients were treated with intravitreal injections of vancomycin and ceftazidime, as well as subconjunctival steroids. Vitreous cultures were positive in 2 of 10 eyes, and both grew Staphylococcus epidermidisr, aqueous cultures were negative in 8 of 8 eyes (not performed in 2 patients). Follow-up ranged from 13 to 85 days (median, 37 days). All eyes showed complete resolution of inflammation and visual acuity improved to 20/40 or better in 9 eyes (90%). CONCLUSIONS: Acute-onset endophthalmitis may occur in a cluster of patients within a short time frame. Early diagnosis and treatment may result in favorable visual outcomes.

Original languageEnglish
Pages (from-to)205-210
Number of pages6
JournalOphthalmic Surgery Lasers and Imaging
Volume36
Issue number3
StatePublished - May 1 2005

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Endophthalmitis
Cataract
Visual Acuity
Intravitreal Injections
Ceftazidime
Vancomycin
Fibrin
Staphylococcus
Early Diagnosis
Steroids
Inflammation
Light

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Chaudhry, N. A., Lavaque, A. J., Scott, I. U., Flynn, H. W., & Liggett, P. E. (2005). A cluster of patients with acute-onset endophthalmitis following cataract surgery. Ophthalmic Surgery Lasers and Imaging, 36(3), 205-210.

A cluster of patients with acute-onset endophthalmitis following cataract surgery. / Chaudhry, Nauman A.; Lavaque, Alejandro J.; Scott, Ingrid U.; Flynn, Harry W; Liggett, Peter E.

In: Ophthalmic Surgery Lasers and Imaging, Vol. 36, No. 3, 01.05.2005, p. 205-210.

Research output: Contribution to journalArticle

Chaudhry, NA, Lavaque, AJ, Scott, IU, Flynn, HW & Liggett, PE 2005, 'A cluster of patients with acute-onset endophthalmitis following cataract surgery', Ophthalmic Surgery Lasers and Imaging, vol. 36, no. 3, pp. 205-210.
Chaudhry, Nauman A. ; Lavaque, Alejandro J. ; Scott, Ingrid U. ; Flynn, Harry W ; Liggett, Peter E. / A cluster of patients with acute-onset endophthalmitis following cataract surgery. In: Ophthalmic Surgery Lasers and Imaging. 2005 ; Vol. 36, No. 3. pp. 205-210.
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