Endophthalmitis after intravitreal injections vs cataract surgery: a 15-year cohort

Session Details

Session Title: Presented Poster Session: Combined Cataract Surgery & Cataract Surgery Complications

Venue: Poster Village: Pod 1

First Author: : N.Dar ISRAEL

Co Author(s): :    S. Pillar   A. Friehmann   A. Belkin   S. Ofir              

Abstract Details

Purpose:

To compare the clinical features, visual outcomes and causative organisms between endophthalmitis secondary to cataract surgery or to intravitreal injections (IVI).

Setting:

Meir Medical Center, Kfar Saba, Israel.

Methods:

Design: Retrospective, non-randomized comparative chart review Methods: Medical records of patients with proven or suspected endophthalmitis admitted to the Ophthalmology Department at Meir Medical Center 2/2002 to 2/2017 were reviewed. Clinical characteristics including presenting and final visual acuity (VA) outcomes, causative organisms and time to admission were assessed.

Results:

Among 84 patients in our study, 35 had preceding cataract surgery and 12 had preceding IVI. The post cataract group showed a significant improvement in VA following treatment with a presenting and final VA (logMar±SD) of (1.80±0.54 and 1.39±0.65, P<0.01) as opposed to the post-IVI group (1.72±0.26 and 1.81±0.32, P=.692), while most patients in the cataract group exhibited some degree of VA recovery (70.96%).

Conclusions:

Overall, patients with endophthalmitis following cataract surgery had better visual outcomes and were more likely to show a VA improvement following treatment when compared with endophthalmitis following IVI.

Financial Disclosure:

None