An outbreak of acute postoperative endophthalmitis after cataract surgery

Background: Endophthalmitis is one of the most serious complications of ophthalmic surgery, which includes postoperative cataract extraction. Outbreak of acute postoperative endophthalmitis after cataract surgery has been reported in Thailand and other countries. Objective: To describe an outbreak o...

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Main Authors: Ausayakhun S., Itthipunkul N., Patikulsila D., Choovuthayakorn J., Kunavisarut P., Wattananikorn S.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-50949097727&partnerID=40&md5=b90a339cdc8a4cce3ea7d3b53e859010
http://www.ncbi.nlm.nih.gov/pubmed/18788697
http://cmuir.cmu.ac.th/handle/6653943832/2396
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-23962014-08-30T02:00:48Z An outbreak of acute postoperative endophthalmitis after cataract surgery Ausayakhun S. Itthipunkul N. Patikulsila D. Choovuthayakorn J. Kunavisarut P. Wattananikorn S. Ausayakhun S. Background: Endophthalmitis is one of the most serious complications of ophthalmic surgery, which includes postoperative cataract extraction. Outbreak of acute postoperative endophthalmitis after cataract surgery has been reported in Thailand and other countries. Objective: To describe an outbreak of acute postoperative endophthalmitis after cataract surgery that was referred to Chiang Mai University Hospital during March 2006. Material and Method: Observational case series were made from the records of inpatients and outpatients, who had been referred for treatment of acute postoperative endophthalmitis after cataract surgery at a district hospital in northern Thailand. The surgery was conducted on two consecutive days by volunteer ophthalmologists of a non-profit foundation from Bangkok. Results: In this outbreak, the authors recorded 31 endophthalmitis cases, with 33 eyes (bilateral 2 cases). Of the 33 endophthalmitis eyes, 32 occurred following extracapsular cataract extraction with intraocular lens and one after the secondary intraocular lens implant. Microbiological investigations in the hospital were done with aqueous tapping, vitreous tapping, and vitreous from pars plana vitrectomy. Gram-positive cocci were detected from vitreous tapping in four eyes. Thirty-two cases were managed with intravitreous antibiotics, one with subconjunctival antibiotic only, and all eyes were treated with fortified topical antibiotics. Fifteen eyes underwent pars plana vitrectomy. Assessment of visual acuity (VA) before and after treatment showed improvement in 75.8% (25/33), decrease of VA in 9.1% (3/33), while visual acuity remained stable in 15.2% (5/33). Conclusion: In high-volume cataract surgery, an outbreak of endophthalmitis is always possible. Prompt and appropriate treatment can improve the visual outcome. 2014-08-30T02:00:48Z 2014-08-30T02:00:48Z 2008 Article 01252208 18788697 JMTHB http://www.scopus.com/inward/record.url?eid=2-s2.0-50949097727&partnerID=40&md5=b90a339cdc8a4cce3ea7d3b53e859010 http://www.ncbi.nlm.nih.gov/pubmed/18788697 http://cmuir.cmu.ac.th/handle/6653943832/2396 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Background: Endophthalmitis is one of the most serious complications of ophthalmic surgery, which includes postoperative cataract extraction. Outbreak of acute postoperative endophthalmitis after cataract surgery has been reported in Thailand and other countries. Objective: To describe an outbreak of acute postoperative endophthalmitis after cataract surgery that was referred to Chiang Mai University Hospital during March 2006. Material and Method: Observational case series were made from the records of inpatients and outpatients, who had been referred for treatment of acute postoperative endophthalmitis after cataract surgery at a district hospital in northern Thailand. The surgery was conducted on two consecutive days by volunteer ophthalmologists of a non-profit foundation from Bangkok. Results: In this outbreak, the authors recorded 31 endophthalmitis cases, with 33 eyes (bilateral 2 cases). Of the 33 endophthalmitis eyes, 32 occurred following extracapsular cataract extraction with intraocular lens and one after the secondary intraocular lens implant. Microbiological investigations in the hospital were done with aqueous tapping, vitreous tapping, and vitreous from pars plana vitrectomy. Gram-positive cocci were detected from vitreous tapping in four eyes. Thirty-two cases were managed with intravitreous antibiotics, one with subconjunctival antibiotic only, and all eyes were treated with fortified topical antibiotics. Fifteen eyes underwent pars plana vitrectomy. Assessment of visual acuity (VA) before and after treatment showed improvement in 75.8% (25/33), decrease of VA in 9.1% (3/33), while visual acuity remained stable in 15.2% (5/33). Conclusion: In high-volume cataract surgery, an outbreak of endophthalmitis is always possible. Prompt and appropriate treatment can improve the visual outcome.
format Article
author Ausayakhun S.
Itthipunkul N.
Patikulsila D.
Choovuthayakorn J.
Kunavisarut P.
Wattananikorn S.
Ausayakhun S.
spellingShingle Ausayakhun S.
Itthipunkul N.
Patikulsila D.
Choovuthayakorn J.
Kunavisarut P.
Wattananikorn S.
Ausayakhun S.
An outbreak of acute postoperative endophthalmitis after cataract surgery
author_facet Ausayakhun S.
Itthipunkul N.
Patikulsila D.
Choovuthayakorn J.
Kunavisarut P.
Wattananikorn S.
Ausayakhun S.
author_sort Ausayakhun S.
title An outbreak of acute postoperative endophthalmitis after cataract surgery
title_short An outbreak of acute postoperative endophthalmitis after cataract surgery
title_full An outbreak of acute postoperative endophthalmitis after cataract surgery
title_fullStr An outbreak of acute postoperative endophthalmitis after cataract surgery
title_full_unstemmed An outbreak of acute postoperative endophthalmitis after cataract surgery
title_sort outbreak of acute postoperative endophthalmitis after cataract surgery
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-50949097727&partnerID=40&md5=b90a339cdc8a4cce3ea7d3b53e859010
http://www.ncbi.nlm.nih.gov/pubmed/18788697
http://cmuir.cmu.ac.th/handle/6653943832/2396
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