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Clinical features of endophthalmitis Keiko Fujie 1 , Satoshi Nakamura 1 , Miyuki Sugita 1 , Yutaka Isobe 1 , Hiroshi Hatano 1 , Shigeaki Ohno 1 1Dept of Ophthalmol, Yokohama City Univ Sch of Med pp.1377-1381
Published Date 1995/7/15
DOI https://doi.org/10.11477/mf.1410904410
  • Abstract
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We reviewed ten cases of infectious endophthalmitis during the foregoing 26 months. The endophthalmitis was due to fungal organisms in 6 and bacterial in 4. All the cases of fungal endophthalmitis had the history of intravenous hyperalimentation. The bacterial endophthalmitis was due to penetrating ocular trauma 1 eye, cataract surgery 1 and endogenous infection 2. In 3 of 6 cases of fungal endophthalmitis, Candida albicans was isolated from the blood or the wound. Two of 4 cases of bacterial endophthalmitis were microbiologically diagnosed through aqueous or vitreous tap. One was caused by Enterobacter cloacae and another by Klebsiella pneumoniae. All cases of fungal endophthalmitis were treated with systemic fluconazol and resulted in good visual acuity. All the cases of bacterial endophthalmitis were treated by systemic antibiotics and vitrectomy, resulting in good visual acuity in 1 and in poor visual outcome in 3. Early diagnosis was crucial for better visual outcome, particularly in cases of bacterial endophthalmitis.


Copyright © 1995, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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