Pseudophakic endophthalmitis. Diagnosis and management

W. T. Driebe, S. Mandelbaum, Richard Forster, L. K. Schwartz, William W Culbertson

Research output: Contribution to journalArticle

207 Citations (Scopus)

Abstract

Eighty-three cases of endophthalmitis occurring in eyes with intraocular lenses are presented. A problem with the cataract section was felt to contribute to development of the endophthalmitis in 22% of patients. Seventy-five percent of eyes were culture positive with a microbiologic spectrum similar to other reported series without lens implants. Staphylococcus epidermidis was the most common organism accounting for 38% of the isolates. Therapeutic vitrectomy was performed in 46 cases (55%), generally in those eyes with the most severe inflammation. Intraocular lenses were removed in 23 cases (28%), usually to facilitate vitrectomy. Only 1 of 57 eyes with bacterial endophthalmitis could not be sterilized while the intraocular lens was retained. Visual acuity of 20/400 or better was achieved in 63% of culture positive cases, in 78% of eyes infected with S. epidermidis, and in 94% of culture negative eyes.

Original languageEnglish
Pages (from-to)442-448
Number of pages7
JournalOphthalmology
Volume93
Issue number4
StatePublished - Jul 23 1986

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Endophthalmitis
Intraocular Lenses
Staphylococcus epidermidis
Vitrectomy
Cataract
Lenses
Visual Acuity
Inflammation

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Driebe, W. T., Mandelbaum, S., Forster, R., Schwartz, L. K., & Culbertson, W. W. (1986). Pseudophakic endophthalmitis. Diagnosis and management. Ophthalmology, 93(4), 442-448.

Pseudophakic endophthalmitis. Diagnosis and management. / Driebe, W. T.; Mandelbaum, S.; Forster, Richard; Schwartz, L. K.; Culbertson, William W.

In: Ophthalmology, Vol. 93, No. 4, 23.07.1986, p. 442-448.

Research output: Contribution to journalArticle

Driebe, WT, Mandelbaum, S, Forster, R, Schwartz, LK & Culbertson, WW 1986, 'Pseudophakic endophthalmitis. Diagnosis and management', Ophthalmology, vol. 93, no. 4, pp. 442-448.
Driebe WT, Mandelbaum S, Forster R, Schwartz LK, Culbertson WW. Pseudophakic endophthalmitis. Diagnosis and management. Ophthalmology. 1986 Jul 23;93(4):442-448.
Driebe, W. T. ; Mandelbaum, S. ; Forster, Richard ; Schwartz, L. K. ; Culbertson, William W. / Pseudophakic endophthalmitis. Diagnosis and management. In: Ophthalmology. 1986 ; Vol. 93, No. 4. pp. 442-448.
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