Purpose: To determine the effect of medical and surgical treatments on visual acuity of patients with endophthalmitis in our clinic.
Methods: Twenty four eyes of 24 patients who were treated for endophthalmitis in our clinic between January 2005- September 2009 were analyzed. Intravitreal antibiotic injection had been performed in all patients before vitreus samples were obtained. We administered topical (vancomycin, quinolones, ceftazidime) and oral (ciprofloxacin, ceftriaxone) antibiotics to all patients.
Results: Mean age was 60.58 (7-79 years); 18 were male and 6 female. Predisposing factors for infective endophthalmitis included cataract surgery in 14 patients (%58.33), post traumatic endophthalmitis in 8 patients (%33.33), keratoplasty surgery in 1 patient (%4.16) and endogenous endophthalmitis in one patient. Twelve patients (%50) had culture positive vitreus samples. Vitrectomy was performed in nine patients but evisseration was performed in one patient because of the progressive inflamation after vitrectomy. Nine patients had a mean visual improvement of approximately three lines and 12 patients had no change of visual acuity.
Conclusion: Inflammation could be controlled with medical and surgical treatment but visual loss could not be prevented in fifty percent of patients with endopthalmitis.
Key Words: Endophthalmitis; Medical and Surgical Treatment; Visual Acuity.
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