Table 1.
Case | Endophthalmitis cause | Age | BCVA | Operation | Gram’s stain | C/S result | H/C result | PCR result | BCVA 1 week | BCVA 1 month | BCVA 3 months |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | trauma | 44 | HM with PJ | tap | Neg rod | N | Streptococcus Group D | N | S/P evisceration | ||
evisceration | Pos cocci | N | Streptococcus Group D | S. vestibularis | |||||||
2 | trauma | 50 | HM with PJ | tap | N | N | N | N | HM with PJ | 20/40 | 20/20 |
PPV | N | N | N | machine problem | |||||||
3 | endogenous | 46 | 20/70 | PPV | N | N | N | machine problem | HM with PJ | NPL | NPL |
4 | post-operative | 64 | HM with PJ | tap | N | N | N | N | FC 1 ft | FC 4 ft | HM with PJ |
5 | post-operative | 59 | PL | PPV | N | N | N | H. influenzae | S/P evisceration | ||
evisceration | N | N | N | H. influenzae | |||||||
6 | endogenous | 71 | PJ | PPV | N | Klebsiella pneumoniae | Klebsiella pneumoniae | Klebsiella pneumoniae | S/P evisceration | ||
7 | endogenous | 72 | HM with PJ | PPV | Pos cocci | S. agalactiae | S. agalactiae | S. agalactiae | S/P evisceration | ||
tap | N | N | S. agalactiae | S. agalactiae | |||||||
evisceration | Yeast | N | N | inconclusive | |||||||
8 | trauma | 71 | HM with PJ | tap | Neg rod | S. pneumonia | N | N | S/P evisceration | ||
evisceration | N | N | N | inconclusive | |||||||
9 | post-operative | 66 | 20/70 | tap | N | N | Coag. neg. staphylococci | N | FC 1 ft | F/U other hospital | |
10 | post-operative | 69 | PJ | PPV | N | N | E. faecalis | S. saccharolyticus E. faecalis | PJ | HM with PJ | NPL |
tap | N | N | E. faecalis | S. saccharolyticus E. faecalis | |||||||
PPV | N | N | E. faecalis | S. saccharolyticus E. faecalis | |||||||
11 | post-operative | 48 | FC 1 ft | tap | N | N | N | N | 20/30 | 20/20 | loss F/U |
PPV | N | N | N | N | |||||||
12 | post-operative | 82 | HM with PJ | PPV | N | N | N | N | FC 1/2 ft | FC 1/2 ft | PL |
13 | post-operative | 74 | 5/200 | PPV | N | N | N | E. faecalis | 20/30 | 20/30 | 20/30 |
tap | N | N | N | N | |||||||
14 | post-operative | 49 | HM with PJ | PPV | Pos cocci | Coag. neg. staphylococci | Coag. neg. staphylococci |
S. haemolyticus
S. simiae S. aureus |
FC 4 ft | 20/200 | 20/200 |
PPV | N | N | N | N | |||||||
15 | trauma | 47 | HM with PJ | evisceration | N | N | N | N | Post-evisceration | ||
16 | endogenous | 34 | HM with PJ | PPV | N | N | N | N | HM with PJ | HM with PJ | HM with PJ |
17 | post-operative | 35 | 20/100 | tap | N | N | N | N | 20/50 | F/U other hospital | |
18 | trauma | 86 | PL | tap | Pos cocci | S. pneumonia | S. pneumonia | N | Post-evisceration | ||
19 | trauma | 24 | FC 1/2 ft | PPV | N | N | N | N | FC 1 ft | FC 1/2 ft | FC 1/2 ft |
20 | post-operative | 49 | HM with PJ | PPV | N | N | N | N | 20/30 | F/U other hospital | |
21 | endogenous | 66 | HM with PJ | tap | N | N | N | N | HM with PJ | HM with PJ | loss F/U |
22 | post-operative | 50 | FC 2 ft | tap | N | N | N | inconclusive | FC 4 ft | 20/70 | 20/70 |
PPV | N | N | N | N | |||||||
23 | post-operative | 72 | FC 1 1/2 ft | tap | N | N | N | N | 20/70 | 20/70 | 20/70 |
24 | endogenous | 46 | HM with PJ | tap | N | N | N | N | Post-evisceration | ||
25 | trauma | 54 | HM with PJ | PPV | N | N | N | N | Post-evisceration | ||
26 | post-operative | 64 | FC 2 ft | PPV | Neg rod | N | N | N | FC 3 ft | FC 4 ft | FC 6 ft |
27 | post-operative | 74 | 20/100 | tap | N | N | N | N | FC 3 ft | 20/200 | 20/100 |
28 | post-operative | 59 | HM with PJ | tap | N | N | N | N | HM with PJ | FC ¼ ft | |
29 | trauma | 29 | PL | PPV | Budding yeast | Curvularia | N | N | HM with PJ |
N, no growth of bacteria; inconclusive, growth of multiple bacteria, unable to identified type of bacteria, or possible contamination; machine problem, no result due to machine error; IOFB, intraocular foreign body; phaco, phacoemulsification; IOL, intraocular lens implantation; PPV, pars plana vitrectomy; ECCE, extra-capsular cataract extraction; SBP, scleral buckling procedure; tap, vitreous tap; C/S, conventional bacterial culture method; H/C, blood culture bottle method; PCR, polymerase chain reaction method; F/U, follow up. S.vestibularis, Streptococcus vestibularis; H. influenzae, Haemophilus influenzae; S. agalactiae, Streptococcus agalactiae; S. pneumoniae, Streptococcus pneumoniae, Coag. neg. staphylococci, coagulase-negative staphylococci; E. faecalis, Enterococcus faecalis; S. saccharolyticus, Staphylococcus saccharolyticus; S. haemolyticus, Staphylococcus haemolyticus; S. simiae, Staphylococcus simiae; S. aureus, Staphylococcus aureus; HM, hand motion; PJ, light projection; NPL, no light perception; FC, counting finger; ft, feet; mo, month; Pos cocci, gram positive cocci; Neg rod, gram negative rod