Endophthalmitis After Cataract Extraction: Incidence, Treatment, and Outcome in Crete, Greece, During Period 2000–2008

Abstract

Purpose: To report the incidence, microbial spectrum, and outcome of cataract operation related endophthalmitis cases from 2000 to 2008 in the Department of Ophthalmology, University Hospital of Heraklion, Crete.

Methods: Retrospective, observational case series collected from the files of the University Eye Clinic of Heraklion.

Results: From 2000 to 2008, 23 eyes of 23 patients with endophthalmitis after cataract surgery were reported. Vitreous specimens were obtained in all cases. Twelve were cultured positive, 8 with gram-positive bacteria, and 4 with gram-negative bacteria. Ten patients were treated medically, 13 surgically, and 2 finally underwent enucleation of the affected globe. Fourteen (60.8%) eyes of the total 23 managed in our hospital, achieved a final visual acuity of 1/10 or better and 9 lower than 1/10. Five eyes ended up with no light perception.

Conclusions: We provide an overview of cataract operation related endophthalmitis cases managed in our clinic during the past 9 years.

KEYWORDS::

• bacterial endophthalmitis
• cataract extraction
• incidence
• outcome
• postoperative endophthalmitis