Retinal Vasculitis and Posterior Pole Preretinal Exudates in Exogenous Bacterial Endophthalmitis: Management and Visual Outcomes

ABSTRACT

Purpose

To investigate the clinical settings and features, management, and visual outcomes of exogenous bacterial endophthalmitis with retinal vasculitis and posterior pole preretinal exudates.

Methods

Retrospectively reviewed records for 40 eyes of 40 patients.

Results

Retinal vasculitis was identified with focal type in eight eyes and diffuse type in 32 eyes. Posterior pole preretinal exudates were identified with discrete type in 23 eyes and condensed type in 17 eyes. Final VA was 20/200 or better in 23 of 40 eyes (57.5%). Multivariate linear regression revealed that condensed posterior pole preretinal exudates (P =.005) and ocular hypertension (P =.012) were the significant independent factors for poor visual outcomes.

Conclusions

Condensed posterior pole preretinal exudates and ocular hypertension are critical prognostic factors for poor visual outcomes.

KEYWORDS:

• Endophthalmitis
• intravitreal antibiotics
• pars plana vitrectomy
• posterior pole preretinal exudates
• retinal vasculitis

Declaration of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Additional information

Funding

Supported by the Taiwan Ministry of Science and Technology (MOST) grant number: MOST 106-2314-B-182A-041, and Chang Gung Memorial Hospital CMRPG3F1243.