Endogenous Endophthalmitis: A 5-Year Retrospective Study at a Tertiary Hospital in Intercontinental Region of Turkey


SCIENTIFIC POSTER

Endogenous Endophthalmitis- A 5-Year Retrospective Study at a Tertiary Hospital in Intercontinental Region of Turkey by Hande Celiker, Haluk Kazokoglu, Turkey


ABSTRACT

Purpose:

The aim of this study was to review the clinical profile including predisposing systemic conditions, microorganisms responsible, clinical presentations, and outcomes of endogenous endophthalmitis (EE).

Methods:

We reviewed data from 21 eyes of 15 patients diagnosed with EE and compared their clinical characteristics. All patients were ocular fluid cultures proven.

Results:

Diabetes mellitus was the most common preceding systemic ilness of EE patients (40.0%). In this geographical region; Pseudomonas Aeruginosa (4.8%), Methicillin Sensitive Staphilococcus Aureus (4.8%), Methicillin Resistant Staphilococcus Aureus (4.8%), Mycobacterium Tuberculosis (4.8%) were identified as causative bacterial microorganisms (n:5) in patients with EE; Candida Species (71.4%) and Aspergillus (4.8%) were identified as causative fungal microorganisms (n:16) in patients with EE. Fungemia (76.2%) (especially yeasts) was the most extraocular infection source among patients with EE. Fourteen eyes (66,7%) were managed with intravitreal injections of antimicrobial medicines, and 7 eyes (33,3%) also underwent vitrectomy. Favorable outcomes were noted in non-diabetic and vitrectomized patients.

Conclusions:

This study provides information about the clinical and microbiological profile of EE patients in a region of between Asia and European continents. Aggressive medical and surgical treatment can result in favorable outcomes.


CONTACT DETAILS

Hande Celiker
Istanbul, Turkey
Email : drhandeceliker@yahoo.com
Cell Phone: +905321577740
Work Phone: +902166254545