Original articleAcute Endophthalmitis After Cataract Surgery: 250 Consecutive Cases Treated at a Tertiary Referral Center in the Netherlands
Section snippets
Methods
Clinical records of all patients treated for acute postoperative endophthalmitis at Radboud University Nijmegen Medical Centre between January 1, 1996, and December 31, 2006, were reviewed. The study included patients with onset of symptoms within 6 weeks after cataract surgery referred from other hospitals and from our own department. Patients with endophthalmitis following secondary lens implantation or any combined surgery for vitreoretinal disease or glaucoma were excluded.
All patients
Results
During the study interval 286 eyes of 284 patients were treated for acute endophthalmitis after cataract surgery. Excluded were patients with follow-up of less than 1 month (n = 14), patients with presenting visual acuity (VA) of no light perception (n = 3), patients with presenting visual acuity of >0.40 (n = 4), patients who were enrolled in a randomized multicenter trial (n = 2), patients who received only topical treatment (n = 7), patients in whom a bacterial culture was taken but no
Discussion
Despite advances in prophylaxis and surgical treatment techniques, endophthalmitis remains a devastating complication of cataract surgery.2, 6, 10 Treatment outcomes after endophthalmitis are influenced by patient-related items, causative organisms, presenting visual acuity, and treatment type.2 Even though limited by its retrospective nature and incomplete data on the condition of the eye before cataract surgery, the large number of study eyes in our current investigation provides qualified
Benjamin J. Pijl, MD, is a resident at the Radboud University Nijmegen Medical Centre, Institute of Ophthalmology, in Nijmegen, The Netherlands.
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Benjamin J. Pijl, MD, is a resident at the Radboud University Nijmegen Medical Centre, Institute of Ophthalmology, in Nijmegen, The Netherlands.
Niels Crama, MD, FEBOpth, is a Vitreoretinal Surgeon at the Radboud University Nijmegen Medical Centre, Institute of Ophthalmology, Nijmegen, The Netherlands.