Akademik Veri Yönetim Sistemi
Retina-Vitreus, cilt.28, sa.1, ss.45-50, 2020 (Scopus)
Purpose: To review the clinical features of patients diagnosed as endogenous endophthalmitis (EE). Subjects and methods: We retrospectively reviewed records of 8 patients with a diagnosis of EE who were followed-up for at least three months in between January, 2012 and August, 2017. The clinical features of patients, predisposing factors, treatment modalities and outcomes were evaluated. Results: Twelve eyes of 8 patients (6 female,2 male) were included to the study. The mean age was 56.1±17.0 years (range:26-76 years) and the mean follow-up time was 5.7±4.3 months (Range:3-15 months). Six patients had diabetes mellitus (DM), an additional patient using immunosuppressive agent also had DM. The history of urinary system procedure, central venous catheter application, kidney transplantation, cardiac valve surgery, by-pass surgery and septicemia were the predisposing factors. The time from predisposing procedure to EE diagnosis was 5.6±4.4 weeks (range: 1-12 weeks). Five eyes underwent vitrectomy surgery in addition to intravitreal antibiotic administration. Best-corrected visual acuity was improved in 8, remained unchanged in 2 and worsened in 2 eyes. Conclusion: Endogenous endophthalmitis is characterized by poor visual outcome and it should be kept in mind that patients with immune system pathology are prone to EE. Early diagnosis is warranted for early intervention and better visual outcome.