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¹Kocaeli Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Kocaeli, Yrd. Doç. Dr.
²Kocaeli Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Kocaeli, Doç. Dr.
³Kocaeli Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Kocaeli, Prof. Dr. Purpose: To report the clinical presentations, treatment methods, and visual and anatomical outcomes in an endophthalmitis case series that occurred after cataract surgery.
Materials and Methods: Ophthalmologic examinations, treatment methods, and final examinations of 11 patients who had endophthalmitis after cataract surgery in the same clinic and were referred to our hospital were evaluated retrospectively.
Results: Five of the patients were female and 6 of them were male. The patients were referred to our hospital between 1 and 7 days after surgery. The visual acuity level of 8 patients was hand movements, in 2 patients it was 50 cmcf, and in 1 patient it was 1 mcf. Seven of the patients underwent immediate pars plana vitrectomy. The rest of the patients received intravitreal antibiotic and triamcinolone injections. Intravitreal injections were repeated every other day if necessary. When the final examinations of the patients were evaluated, it was found that two patients had phitisis bulbi. The mean visual acuity of the rest of the patients was 0.6. One of the patients had chronic endophthalmitis, and the same patient had retinal detachment in the following days. This patient underwent retinal surgery and was injected with silicone oil for tamponade. The cultures from all of the patients were positive for P. aeruginosa.
Conclusion: Endophthalmitis occurring after cataract surgery may have different presentations although the patients are infected with the same pathogen. Endophthalmitis treatment should be planned for each patient individually, according to their clinical presentation. Keywords : Cataract surgery, endophthalmitis, Pseudomonas aeruginosa, treatment