백내장 수술 후 발생한 감염성 안내염에서 최종시력에 영향을 미치는 인자

Factors Affecting Final Visual Acuity in Infectious Endophthalmitis Following Cataract Surgery

Purpose: To evaluate the factors affecting the clinical outcome and final visual acuity in patients with infectious endophthalmitis following cataract surgery. Methods: In this study, 35 patients who were diagnosed with endophthalmitis following cataract surgery from 2003 to 2012 were retrospectively analyzed. To evaluate factors affecting final visual acuity, the following were investigated: initial visual acuity, presence of diabetes mellitus, onset of endophthalmitis after the cataract surgery, performance of vitrectomy, duration between diagnosis and vitrectomy, presence of culture and results of bacterial cultures, type of corneal incision, presence of suture on corneal incision, presence of posterior capsule rupture, and surgeon’s experience in referred cases. Results: Intravitreal antibiotic injection was given in all 35 cases, and vitrectomy was additionally performed in 30 of the cases. Statistically, none of the initially investigated factors affected final visual acuity. Coagulase-negative staphylococci including staphylococcus epidermidis were the most common organisms isolated during the study period. Conclusions: No single factor investigated significantly affected the final visual acuity in postoperative endophthalmitis following cataract surgery.