Endogenous Endophthalmitis in the American and Korean Population: An 8-year Retrospective Study

被引：11
|
作者：
Cho, Heeyoon [1 ,2 ]
Shin, Yong Un [2 ]
Siegel, Nicole H. [3 ]
Yu, Hyeong Gon [4 ]
Sobrin, Lucia [1 ]
Patel, Achal [3 ]
Durand, Marlene L. [1 ,5 ]
Miller, Joan W. [1 ]
Husain, Deeba [1 ]
机构：
[1] Harvard Med Sch, Massachusetts Eye & Ear Infirm, Dept Ophthalmol, Boston, MA USA
[2] Hanyang Univ, Med Coll, Dept Ophthalmol, Seoul, South Korea
[3] Boston Univ, Sch Med, Dept Ophthalmol, Boston, MA 02118 USA
[4] Seoul Natl Univ, Coll Med, Dept Ophthalmol, Seoul, South Korea
[5] Harvard Med Sch, Massachusetts Gen Hosp, Dept Med, Infect Dis Unit, Boston, MA USA
来源：
OCULAR IMMUNOLOGY AND INFLAMMATION | 2018年 / 26卷 / 04期
关键词：
Endogenous; endophthalmitis; infectious; vitrectomy; EAST-ASIAN EXPERIENCE; BACTERIAL ENDOPHTHALMITIS; PROGNOSTIC-FACTORS; CLINICAL-FEATURES; LIVER-ABSCESS; RISK-FACTORS; OUTCOMES; MICROBIOLOGY; VITRECTOMY; MANAGEMENT;
D O I：
10.1080/09273948.2016.1195000
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Purpose: To study the clinical features of endogenous endophthalmitis (EE) in sample patient populations from the USA and South Korea over an 8-year period.Methods: We reviewed data from 128 eyes of 60 American and 48 Korean patients diagnosed with EE and compared their clinical characteristics.Results: Fungemia and liver abscess were the most common extraocular infection sources among American (26.7%) and Korean patients (33.3%), respectively. Klebsiella pneumoniae and Candida species were the most common pathogens of EE in the Korean and the American patients, respectively. Endophthalmitis caused by fungi had a better visual prognosis than that caused by bacteria (p = 0.001). Vitrectomy was beneficial for eyes with EE due to virulent bacteria presenting with worse than counting finger vision.Conclusions: The predisposing conditions and responsible organisms for EE vary in different regions of the world. The visual prognosis was strongly influenced by the underlying pathogen.
引用
收藏
页码：496 / 503
页数：8
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