Table 1.
Clinical features and outcome of individual patients presented with acute postoperative endophthalmitis after cataract operation.
| Patient number | Age | Gender | Presenting VA | Final VA | Hypopyon ≥1 mm | Absence of fundal view | Bacterial growth | Initial treatments within 24 hours of presentation | Additional treatments after 24 hours of presentation | Reasons for early or immediate PPV | Complications | FU duration (months) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 79 | F | CF | 20/60 | y | y | No growth | IA | IA, delayed PPV | – | Nil | 49.4 |
| 2 | 91 | M | n/a | 20/120 | n/a | n/a | Staph. lugdunensis | IA | IA | – | Nil | 36.7 |
| 3 | 85 | F | 20/200 | 20/120 | n | n | No growth | IA | Nil | – | Nil | 1.1 |
| 4 | 73 | F | 20/60 | 20/30 | n | y | Staph. epidermidis | IA | Delayed PPV | – | Nil | 33.4 |
| 5 | 77 | F | HM | 20/30 | n | y | Coagulase -ve Staph. | IA | Delayed PPV | – | Nil | 36.2 |
| 6 | 81 | M | HM | 20/60 | y | y | Enterococcus sp. | IA, prompt PPV | Nil | Drop of VA to LP | Nil | 1.4 |
| 7 | 87 | F | HM | 20/60 | y | y | Coagulase -ve Staph. | IA | Delayed PPV | – | Nil | 3.7 |
| 8 | 80 | F | 3/200 | 20/80 | n | n | No growth | IA | Nil | – | Nil | 7.8 |
| 9 | 78 | F | HM | 20/80 | y | y | No growth | IA | Delayed PPV | – | Nil | 64.1 |
| 10 | 80 | M | HM | NLP | y | y | Group G Strep. | IA | Delayed PPV | – | Evisceration | 30.7 |
| 11 | 72 | F | LP | 20/120 | y | y | Staph. lugdunensis | Immediate PPV | Nil | Presenting VA = LP | Nil | 50.2 |
| 12 | 82 | M | HM | 20/30 | n | y | Pseudo. aeruginosa | IA, prompt PPV | Nil | Drop of VA to LP | Nil | 4.8 |
| 13 | 67 | M | HM | 20/16 | n | y | Serratia | IA, prompt PPV | IA | Drop of VA to LP | Nil | 20.2 |
| 14 | 86 | M | HM | 3/80 | y | n | Staph. lugdunensis | IA | Delayed PPV | – | Nil | 24.4 |
| 15 | 57 | M | HM | 20/40 | n | y | Coagulase -ve Staph. | IA, prompt PPV | Nil | At discretion of surgeon | Nil | 6.4 |
| 16 | 32 | M | HM | NLP | n | y | Group G Strep. | Immediate PPV | IA | At discretion of surgeon | Phthisis bulbi | 17.7 |
| 17 | 90 | F | LP | 1/200 | n | y | Staph. aureus | IA, prompt PPV | Nil | Presenting VA = LP | Intraop RD | 16.7 |
| 18 | 65 | F | LP | 18/200 | y | y | Strep. pneumoniae | IA, prompt PPV | Nil | Presenting VA = LP | Nil | 18.1 |
| 19 | 85 | F | HM | 20/60 | n | y | Enterococcus faecalis | IA, prompt PPV | IA, IA | At discretion of surgeon | Nil | 8.7 |
| 20 | 80 | F | HM | LP | y | y | Enterococcus faecalis | IA, prompt PPV | Nil | Drop of VA to LP | Postop RD | 7.3 |
| 21 | 57 | M | LP | HM | y | y | No growth | IA, prompt PPV | Nil | Presenting VA = LP | Postop RD | 3.1 |
| 22 | 80 | M | 2/200 | 20/20 | n | n | Staph. lugdunensis | IA, prompt PPV | Nil | At discretion of surgeon | Nil | 2.6 |
CF count fingers, F female, FU follow-up, HM hand movement, IA intravitreal antibiotics, intraop intraoperative, LP light perception, M male, n no, n/a not available, NLP no light perception, postop postoperative, PPV pars plana vitrectomy, Pseudo. Pseudomonas, RD retinal detachment, sp. species, Staph. Staphylococcus, Strept. Streptococcus, VA visual acuity, y yes, -ve negative.