推测感染性眼内炎后视力恢复到眼内炎前视力的相关临床特征。

IF 0.9 4区医学 Q4 OPHTHALMOLOGY

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 DOI:10.3928/23258160-20241015-02

Richmond Woodward, Todd L Fleming, Cason B Robbins, Delaram Mirzania, Henry L Feng, Sharon Fekrat

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引用次数: 0

摘要

背景和目的：本研究旨在调查推测感染性眼内炎治疗后恢复到眼内炎前视力（VA）的相关临床特征：这是一项回顾性研究，研究对象为 2009 年至 2018 年间患有眼内炎的 74 只眼睛，记录了发病前 12 周和发病后 6 个月内的视力：74 眼中有 36 眼（49%）恢复到眼底病前的 VA。眼内液培养阳性的眼睛恢复到眼底病前视力的几率降低了71.5%。在最初接受玻璃体旁切除术治疗的 10 只眼睛中，有 9 只（90%）未能恢复到眼内炎前的视力。白内障手术后眼内炎是恢复到眼内炎前视力的眼睛的一个特征。症状持续时间、发病时间和全身皮质类固醇治疗对视力恢复的预测作用不大：结论：不到50%的推测感染性眼内炎患者的视力恢复到了眼内炎之前的水平。眼内培养阳性与未能恢复到眼底病前视力有关。[眼科手术激光成像视网膜2024;55:XX-XX]。

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Clinical Features Associated With Return to Pre-endophthalmitis Visual Acuity Following Presumed Infectious Endophthalmitis.

Background and objective: This study aimed to investigate clinical characteristics associated with return to pre-endophthalmitis visual acuity (VA) following treatment for presumed infectious endophthalmitis.

Patients and methods: This was a retrospective study of 74 eyes with endophthalmitis and VA recorded ≤ 12 weeks before presentation and 6 months after presentation between 2009 and 2018.

Results: Thirty-six of 74 eyes (49%) returned to preendophthalmitis VA. Eyes with a positive intraocular fluid culture had 71.5% lower odds of returning to pre-endophthalmitis VA. Nine of 10 eyes (90%) treated with initial pars plana vitrectomy failed to return to pre-endophthalmitis VA. Endophthalmitis following cataract surgery was a characteristic of eyes that returned to pre-endophthalmitis VA. Symptom duration, time to presentation, and treatment with systemic corticosteroids were not significant predictors of visual recovery.

Conclusion: Just under 50% of eyes with presumed infectious endophthalmitis returned to preendophthalmitis VA. A positive intraocular culture is associated with failure to return to pre-endophthalmitis VA. [Ophthalmic Surg Lasers Imaging Retina 2024;55:XX-XX.].

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来源期刊

Ophthalmic surgery, lasers & imaging retina OPHTHALMOLOGY-SURGERY

CiteScore

1.80

自引率

0.00%

发文量

期刊介绍： OSLI Retina focuses exclusively on retinal diseases, surgery and pharmacotherapy. OSLI Retina will offer an expedited submission to publication effort of peer-reviewed clinical science and case report articles. The front of the journal offers practical clinical and practice management features and columns specific to retina specialists. In sum, readers will find important peer-reviewed retina articles and the latest findings in techniques and science, as well as informative business and practice management features in one journal.