Please use this identifier to cite or link to this item:
Scopus Web of Science® Altmetric
Type: Journal article
Title: Endogenous endophthalmitis: a 13-year review at a tertiary hospital in South Australia.
Author: Leibovitch, I.
Lai, T.
Raymond, G.
Zadeh, R.
Nathan, F.
Selva-Nayagam, D.
Citation: Scandinavian Journal of Infectious Diseases, 2005; 37(3):184-189
Publisher: Taylor & Francis As
Issue Date: 2005
ISSN: 0036-5548
Statement of
Igal Leibovitch, Tze Lai, Grant Raymond, Ramin Zadeh, Francis Nathan and Dinesh Selva
Abstract: This retrospective report presents a series of patients with endogenous endophthalmitis treated over a 13-y period in a tertiary care centre in South Australia. 16 eyes of 13 patients (8 M, 5F) with a mean age 62 y were included. Systemic predisposing risk factors were mainly diabetes mellitus (30.7%), chronic obstructive airway disease (23.1%) and end-stage renal disease (15.4%). Isolated organisms included fungal species in 11 eyes (7 eyes with Candida albicans and 4 with Aspergillus fumigatus), Gram-positive isolates in 4 eyes, and Pseudomonas aeruginosa in 1 eye. Presenting visual acuity was 20/200 or lower in 8 patients (61.5%). Final visual improvement of more than 2 lines was noted in 5 patients, it was stable or worse in 6 patients and in 2 patients the eye was either enucleated or eviscerated. Systemic aspergillosis resulted in death of both patients. In conclusion, the clinical course and microbiological profile of pathogens in patients with endogenous endophthalmitis in our series are similar to other recent western reports. Candida species are the leading isolates, with an overall poor visual prognosis, especially in Aspergillus infections. Close monitoring of immune-compromized patients with systemic infections may enable early diagnosis and treatment and improve prognosis.
Keywords: Humans
Pseudomonas aeruginosa
Gram-Positive Cocci
Aspergillus fumigatus
Candida albicans
Eye Infections, Bacterial
Eye Infections, Fungal
Visual Acuity
Aged, 80 and over
Middle Aged
South Australia
Rights: © 2005 Taylor & Francis
DOI: 10.1080/00365540410020965
Published version:
Appears in Collections:Aurora harvest 6
Surgery publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.