Clinical Analysis On Acute Infectious Endophthalmitis After Cataract Surgery

Abstractive: To analysis the clinical characteristics,treatment prognosis and the microbiological data of infectious endophthalmitis after cataract surgery.Method A retrospectiv ecase series clinical studies From January 2006 to December 2010,34eyesof 33 Patients were selecte.The patients with endophthalmitis were asthe following:post-operative occurred endophthalmitis in the department of Ophthalmology,referred patient with endophthalmitis from other local hospitals, including the general condition of patients, condition of the cataract surgery, condition before and after the treatment of infections endophthalmitis and the microbiological data.Result The time interval from the symptom appearance of endophthalmitis to the diagnosis of endophthalmitis esteblishment was as the following: 6hours-14day, The overall detection rate of pathogen with pathological examination and culture was 47.1%. Antiinfection medicine, anterior chamber douching with drug at early stage, pars plana vitrectomy combined with intravitreous injection could control the infection.The hypopyon was vanished and aqueous flare was negative in all patients after treatment, The post-therapeutic best corrected visual acuity was 0.05 or more in 24 eyes.compared that with the BCVA before treatment, the difference was significant. However, there were only 8.8%(3/34) of patients had a best corrected visual acuity more than 0.3, there were still 29.4%(10/34)of patients had a best corrected visual acuity less than 0.05, the result show the statistically significant factors that cause the visual acuity less than 0.05 after treatment include initial visual acuity and whether treated surgically.Conclusions For patients with infectious endophthalmitis after cataract surgery, the pathological exam inations can improve the detection rate of pathogen and have early results. Intravitreous injection and Pars plana vitrectomy is an effective treatment.The prognosis has relation with visual kind of pathogen and virulence at development of disease. Correct the diagnosis and treatment is also affected the prognosis.