원인균이 동정된 세균성 안내염의 시력 예후

• 영문명: Visual Prognosis of Culture-Proven Bacterial Endophthalmitis
• 발행기관: 대한안과학회
• 저자명: 정송이 함돈일,Song Ee Chung, M.D., Don Il Ham, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number8, 1292~1297쪽, 전체 6쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2006.08.31

영문 초록

Purpose: To evaluate the factors contributing to the visual outcome of patients with culture-proven bacterial endophthalmitis. Methods: We reviewed medical records of all eyes with infectious endophthalmitis between January 1996 and June 2005. The causative bacteria were identified in 18 of 90 eyes, for which we evaluated their clinical features and factors influencing their visual prognosis. Results: Bacterial endophthalmitis occurred after cataract surgery in 6 of 18 eyes, after trabeculectomy or glaucoma implant surgery in 4 eyes, after trauma in 3 eyes, after intravitreal triamcinolone injection in 1 eye, and after endogenous endophthalmitis in 4 eyes. The culture results were similar between gram positive and gram negative organisms. Final vision was 0.1 or better in 6 of the 18 eyes. Final visual acuities showed statistically significant correlation with causative organisms (p=0.018). Conclusions: For effective management of bacterial endophthalmitis and prediction of prognosis, we recommend thorough bacterial culture. Also, further investigation with a large population is needed.

키워드

Culture, Endophthalmitis, Visual prognosis