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Baxter CR, Mccandless MG, Lin AL. Characteristics and Risk Factors for Rhegmatogenous Retinal Detachment Related to Endophthalmitis. JOURNAL OF VITREORETINAL DISEASES 2024; 8:138-143. [PMID: 38465361 PMCID: PMC10924589 DOI: 10.1177/24741264231218509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/12/2024]
Abstract
Purpose: To evaluate the risk factors for the development of concurrent or delayed-onset rhegmatogenous retinal detachment (RRD) related to endophthalmitis as well as the anatomic and visual outcomes with subsequent RRD repair. Methods: In this retrospective case study, a 2-tailed t test (continuous) and Fisher exact test were used to determine statistical significance of the observed findings. The relative risk (RR) and 95% CIs were calculated to assess statistical significance. Results: Of the 170 patients included, 22 were found to have a concurrent or subsequent RRD. Initial treatment with pars plana vitrectomy (PPV) (RR, 3.544; 95% CI, 1.650-7.614), aphakia (RR, 4.150; 95% CI, 1.434-12.011), endogenous endophthalmitis (RR, 2.684; 95% CI, 1.065-6.764), and posterior synechiae (RR, 3.026; 95% CI, 1.408-6.505) were statistically significant risk factors for RRD. Anatomically successful repair was achieved in 77.7% of patients. Conclusions: In addition to preexisting risk factors, the initial treatment of endophthalmitis may be a significant risk factor for RRD development, with a higher incidence of subsequent RRD in patients who have PPV as the initial treatment for endophthalmitis.
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Affiliation(s)
- Cary R. Baxter
- Department of Ophthalmology, University of Mississippi Medical Center, Jackson, MS, USA
| | - Martin G. Mccandless
- Department of Ophthalmology, University of Mississippi Medical Center, Jackson, MS, USA
| | - Albert L. Lin
- Department of Ophthalmology, University of Mississippi Medical Center, Jackson, MS, USA
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Hui J, Ren Y, Wang Y, Han Q. Lactobacillus acidophilus Endophthalmitis Postcataract Operation: A Case Report with a Literature Review. Ocul Immunol Inflamm 2023:1-5. [PMID: 37186816 DOI: 10.1080/09273948.2023.2202736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
BACKGROUND Lactobacillus acidophilus is usually considered nonpathogenic and widely distributed in the human gastrointestinal and vaginal tract. In rare cases, lactobacilli may cause eye infections. CASE PRESENTATION We report a 71-year-old man who experienced unexpected ocular pain and decreased visual acuity for one day after cataract surgery. He presented with obvious conjunctival and circumciliary congestion, corneal haze, anterior chamber cells, anterior chamber empyema, posterior corneal deposits, and pupil light reflection disappearance. This patient underwent the standard three-port 23-gauge pars plana vitrectomy and received the intravitreal perfusion of vancomycin at 1 mg/0.1 mL. The culture of the vitreous fluid produced Lactobacillus acidophilus. CONCLUSION Acute Lactobacillus acidophilus endophthalmitis can occur after cataract surgery, which should be taken into consideration.
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Affiliation(s)
- Jingwen Hui
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China
- Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin, China
- Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China
- Nankai University Eye Hospital, Tianjin, China
- Nankai Eye Institute, Nankai University, Tianjin, China
| | - Yongxia Ren
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China
- Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin, China
- Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China
- Nankai University Eye Hospital, Tianjin, China
- Nankai Eye Institute, Nankai University, Tianjin, China
| | - Ying Wang
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China
- Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin, China
- Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China
- Nankai University Eye Hospital, Tianjin, China
- Nankai Eye Institute, Nankai University, Tianjin, China
| | - Quanhong Han
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China
- Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin, China
- Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China
- Nankai University Eye Hospital, Tianjin, China
- Nankai Eye Institute, Nankai University, Tianjin, China
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Zheng Y, Casagrande M, Dimopoulos S, Bartz-Schmidt KU, Spitzer MS, Skevas C. Correction to: Analysis of retinal detachment resulted from post-operative endophthalmitis treated with 23G pars Plana Vitrectomy. BMC Ophthalmol 2022; 22:61. [PMID: 35135502 PMCID: PMC8822818 DOI: 10.1186/s12886-022-02258-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Affiliation(s)
- Ying Zheng
- Department of Ophthalmology, University Medical Center Hamburg-Eppen- dorf, Hamburg, Germany. .,Department of Ophthalmology, Shanghai General Hospital Afliated to Shanghai Jiaotong University, 100 Haining Road, Shang- hai, 200080, China.
| | - Maria Casagrande
- Department of Ophthalmology, University Medical Center Hamburg-Eppen- dorf, Hamburg, Germany
| | - Spyridon Dimopoulos
- Department of Ophthalmology, Eberhard Karls University Medical Center, Tübingen, Germany
| | | | - Martin Stephan Spitzer
- Department of Ophthalmology, University Medical Center Hamburg-Eppen- dorf, Hamburg, Germany
| | - Christos Skevas
- Department of Ophthalmology, University Medical Center Hamburg-Eppen- dorf, Hamburg, Germany
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