Skip to main content

Advertisement

Log in

Thirty-six cases of endophthalmitis microbiological considerations

  • Original Article
  • Published:
Annals of Ophthalmology

Abstract

Causes and response to antibiotics were analyzed in 36 cases of endophthalmitis. Using diphasic Hemolyne broth, the pathogens responsible for the infection can be isolated. Although the framework for treatment and the evolution of postoperative endophthalmitis have been outlined, the disease continues to evolve. Because complete elimination of postsurgical endophthalmitis appears unattainable, strategies for optimal prevention, diagnosis, and management are important.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Forster RK: Endophthalmitis: diagnostic cultures and visual results. Arch Ophthalmol 1974;92:387–392.

    PubMed  CAS  Google Scholar 

  2. Soukiasian SH, Baum J. Bacterial conjunctivitis. In: Krachmer JH, Mannis MJ, eds Cornea. Cornea and External Disease: Clinical Diagnosis and Management. St. Louis, MO: CV Mosby, 1997, pp. 759–772.

    Google Scholar 

  3. Francois J, et al. Mycoses intra-oculaires. Bull Soc Belge Ophtalmol 1961;127.

  4. Forster RK, Abbott RL, Gelender H. Management of infectious endophthalmitis. Ophthalmology. 1980;87:313–319.

    PubMed  CAS  Google Scholar 

  5. Diamond JG. Intraocular management of endoftalmitis. Arch Ophthalmol 1981;99:96–99.

    PubMed  CAS  Google Scholar 

  6. Puliafito CA, Baker AS, Haaf J, Foster CS. Infectious endophthalmitis. Ophthalmology. 1982;89:921–999.

    PubMed  CAS  Google Scholar 

  7. Nelson PT, Marcus DA, Bovino JA. Retinal detachment following endophthalmitis. Ophthalmology. 1985;92:1112–1117.

    Google Scholar 

  8. Bohigian GM, Olk RJ. Factors associated with a poor visual result in endophthalmitis. Am J Ophthalmol 1986;101:332–334.

    PubMed  CAS  Google Scholar 

  9. Driebe WT, Mandelbaum S, Forster RK. Pseudophakic endophthalmitis: diagnosis and management. Ophthalmology. 1986;93:442–448.

    PubMed  Google Scholar 

  10. Locatcher-Khorazo D, Gutierrez F. Bacteriophage typing of Staphylococcus aureus. A study of normal, infected eyes and environment. Arch Ophthalmol 1960;63:774–787.

    PubMed  CAS  Google Scholar 

  11. Kattan HM, Flynn HW Jr., Pflugfelder SC, Robertson C, Forster RK. Nosocomial endophthalmitis survey. Current incidence of infection after intraocular survey. Ophthalmology. 1991;98:227–238.

    PubMed  CAS  Google Scholar 

  12. Apt L, Isenberg S, Yoshimori R, et al. Chemical preparation of the eye in ophthalmic surgery: III. Effect of povidone-iodine on the conjunctiva. Arch Ophthalmol 1984;102:728–729.

    PubMed  CAS  Google Scholar 

  13. Kessler E. E coli, Pseudomonas protease: purification, partial characterization, and its effect on collagen, proteoglycan and rabbit corneas. Invest Ophthalmol Visual Sci 1977;16:488–497.

    CAS  Google Scholar 

  14. Boldt HC, Pulido JS, Blodi CF, et al. Rural endophthalmitis. Ophthalmology 1989;96:1722–1726.

    PubMed  CAS  Google Scholar 

  15. Greenwald MJ, Wohl LG, Sell CH. Metastatic bacterial endophthalmitis: A contemporary reappraisal. Surv Ophthalmol 1986; 31:81–101.

    Article  PubMed  CAS  Google Scholar 

  16. Allen HF, Mangiaracine AB. Bacterial endophthalmitis after cataract extraction: a study of 22 infection in 20,000 operations. Arch Ophthalmol 1964;72:454–462.

    PubMed  CAS  Google Scholar 

  17. Kreger AS, Griffin OK. Psycochemical fractionation of extracellular cornea-damaging proteases of Pseudomonas aeruginosa. Infect Immunol 1974;9:828–834.

    Google Scholar 

  18. Endophthalmitis Vitrectomy Study Group. Results of the EVS. A randomized trial of immediate vitrectomy and of intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Arch Ophthalmol 1995;113:1476–1496.

    Google Scholar 

  19. Dacey MP, Valencia M, Lee MB, et al. Echographic findings in infectious endophthalmitis. Arch Ophthalmol 1994;112:1325–1233.

    PubMed  CAS  Google Scholar 

  20. Sternberg P Jr, Martin DF. Management of endophthalmitis in the post Endophthalmitis Vitrectomy Study era. Arch Ophthalmol 2001;119:754–755.

    PubMed  Google Scholar 

  21. Peyman GA. Antibiotic administration in the treatment of bacterial endophthalmitis. Intravitreal injections. Surv Ophthalmol 1977; 21:332–346.

    PubMed  CAS  Google Scholar 

  22. Allen HF, Mangiaracine AB. Bacterial endophthalmitis after cataract extraction. Incidence in 36,000 consecutive operations with special reference to preoperative topical antibiotics. Arch Ophthalmol 1974;91:3–7.

    PubMed  CAS  Google Scholar 

  23. Jones DB, Liesegang TJ, Robinson NM. Cumitech 13: Laboratory diagnosis of ocular infections. Washington JA III, ed. American Society for Microbiology, Washington, DC, 1981.

    Google Scholar 

  24. Endophthalmitis Vitrectomy Study Group. Microbiological factors and visual outcome in the Endophthalmitis Vitrectomy Study. Am J Ophthalmol 1996;122:830–846.

    Google Scholar 

  25. Meredith TA. Vitrectomy for infectious endophthalmitis. In: Ryan SJ, ed. Retina. Vol. 3. St. Louis, MO: CV Mosby-Yearbook, 2001, pp. 2242–2263.

    Google Scholar 

  26. Recchia FM, et al. Changing trends in the microbiology of postcataract endophthalmitis. Presented at the Retina Congress, San Francisco, CA, October 2002.

  27. Benz MS, Scott IU, Flynn HW Jr, Unonius N, Miller D. Endophthalmitis isolates and antibiotic sensitivities: a 6-year review of culture proven cases. Am J Ophthalmology 2004;137:38–42.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Federico M. Grignolo MD.

Additional information

The authors have stated that they do not have a significant financial interest or other relationship with any product manufacturer or provider of services discussed in this article. The authors also do not discuss the use of off-label products, which includes unlabeled, unapproved, or investigative products or devices.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Graziani, C., Giardini, F., Vana, M. et al. Thirty-six cases of endophthalmitis microbiological considerations. Ann Ophthalmol 37, 259–265 (2005). https://doi.org/10.1385/AO:37:4:259

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1385/AO:37:4:259

Keywords

Navigation