Clinical profile and visual outcome in cluster endophthalmitis following cataract surgery in Central India

The purpose of this study was to determine clinical presentation, microbiological spectrum and visual outcome of cluster endophthalmitis patients after cataract surgery in central India. The records of cluster endophthalmitis patients were retrospectively reviewed. Three clusters of patients were id...

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Main Authors: Malhotra Sumeet, Mandal Partha, Patanker Gopal, Agrawal Deepshikha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2008-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=2;spage=157;epage=158;aulast=Malhotra
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author Malhotra Sumeet
Mandal Partha
Patanker Gopal
Agrawal Deepshikha
author_facet Malhotra Sumeet
Mandal Partha
Patanker Gopal
Agrawal Deepshikha
author_sort Malhotra Sumeet
collection DOAJ
description The purpose of this study was to determine clinical presentation, microbiological spectrum and visual outcome of cluster endophthalmitis patients after cataract surgery in central India. The records of cluster endophthalmitis patients were retrospectively reviewed. Three clusters of patients were identified who had undergone vitreous biopsy followed by three-port pars plana vitrectomy with intraocular antibiotics and steroids. Good visual outcome was seen in eight (33&#x0025;) of 24 patients. Six patients had corneal infiltration. Smear positivity was 58&#x0025; and culture positivity was 42&#x0025;. There was significant association (<i> P</i> &lt; 0.001) between presenting vision of &#60; 20/400 and growth in vitreous culture (<i> P</i> = 0.006) with poor visual outcome. The association between type of surgery (<i> P</i> = 0.6), duration of symptoms (<i> P</i> = 0.64) and corneal infiltration (<i> P</i> = 0.06) with visual outcome was not significant. <i> Pseudomonas aeruginosa</i> was the organism isolated in vitreous cultures. Thirty three percent patients benefit after appropriate vitreoretinal intervention in cluster endophthalmitis.
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spelling doaj.art-ef2a55fce9354b07b9c1824d69ce34282022-12-21T20:05:31ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47382008-01-01562157158Clinical profile and visual outcome in cluster endophthalmitis following cataract surgery in Central IndiaMalhotra SumeetMandal ParthaPatanker GopalAgrawal DeepshikhaThe purpose of this study was to determine clinical presentation, microbiological spectrum and visual outcome of cluster endophthalmitis patients after cataract surgery in central India. The records of cluster endophthalmitis patients were retrospectively reviewed. Three clusters of patients were identified who had undergone vitreous biopsy followed by three-port pars plana vitrectomy with intraocular antibiotics and steroids. Good visual outcome was seen in eight (33&#x0025;) of 24 patients. Six patients had corneal infiltration. Smear positivity was 58&#x0025; and culture positivity was 42&#x0025;. There was significant association (<i> P</i> &lt; 0.001) between presenting vision of &#60; 20/400 and growth in vitreous culture (<i> P</i> = 0.006) with poor visual outcome. The association between type of surgery (<i> P</i> = 0.6), duration of symptoms (<i> P</i> = 0.64) and corneal infiltration (<i> P</i> = 0.06) with visual outcome was not significant. <i> Pseudomonas aeruginosa</i> was the organism isolated in vitreous cultures. Thirty three percent patients benefit after appropriate vitreoretinal intervention in cluster endophthalmitis.http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=2;spage=157;epage=158;aulast=MalhotraClusterendophthalmitis<i> pseudomonas</i>postoperative
spellingShingle Malhotra Sumeet
Mandal Partha
Patanker Gopal
Agrawal Deepshikha
Clinical profile and visual outcome in cluster endophthalmitis following cataract surgery in Central India
Indian Journal of Ophthalmology
Cluster
endophthalmitis
<i> pseudomonas</i>
postoperative
title Clinical profile and visual outcome in cluster endophthalmitis following cataract surgery in Central India
title_full Clinical profile and visual outcome in cluster endophthalmitis following cataract surgery in Central India
title_fullStr Clinical profile and visual outcome in cluster endophthalmitis following cataract surgery in Central India
title_full_unstemmed Clinical profile and visual outcome in cluster endophthalmitis following cataract surgery in Central India
title_short Clinical profile and visual outcome in cluster endophthalmitis following cataract surgery in Central India
title_sort clinical profile and visual outcome in cluster endophthalmitis following cataract surgery in central india
topic Cluster
endophthalmitis
<i> pseudomonas</i>
postoperative
url http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=2;spage=157;epage=158;aulast=Malhotra
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AT mandalpartha clinicalprofileandvisualoutcomeinclusterendophthalmitisfollowingcataractsurgeryincentralindia
AT patankergopal clinicalprofileandvisualoutcomeinclusterendophthalmitisfollowingcataractsurgeryincentralindia
AT agrawaldeepshikha clinicalprofileandvisualoutcomeinclusterendophthalmitisfollowingcataractsurgeryincentralindia