1. Clinical Characteristics and Outcomes in 314 Japanese Patients with Bacterial Endophthalmitis : A Multicenter Cohort Study from J-CREST
- Author
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Hiroto Ishikawa, Shigeo Yoshida, Tadahiko Ogata, Junya Mori, Kazutaka Uchida, Taiji Sakamoto, Masaru Takeuchi, Yoshinori Mitamura, Fumi Gomi, Masahiko Sugimoto, Akiko Miki, Yuki Komuku, Kazuhiro Kimura, Takaaki Sugisawa, Tatsuya Jujo, Sentaro Kusuhara, Hitoshi Takagi, Takamasa Kinoshita, Shohei Morikawa, Fumiki Okamoto, Yoshio Takesue, Nahoko Ogata, Masahito Ohji, Takayuki Kanda, Mineo Kondo, Tetsuo Ueda, Hiroto Terasaki, and Tomoko Sawada
- Subjects
Microbiology (medical) ,medicine.medical_specialty ,Visual acuity ,genetic structures ,visual acuity ,medicine.medical_treatment ,retrospective study ,vitrectomy ,lcsh:Medicine ,Vitrectomy ,medicine.disease_cause ,Article ,Endophthalmitis ,Internal medicine ,Streptococcus pneumoniae ,Immunology and Allergy ,Medicine ,Molecular Biology ,General Immunology and Microbiology ,biology ,business.industry ,exogenous endophthalmitis ,endogenous endophthalmitis ,lcsh:R ,Retrospective cohort study ,biology.organism_classification ,medicine.disease ,eye diseases ,Infectious Diseases ,Enterococcus ,endophthalmitis ,Intraocular Infection ,sense organs ,medicine.symptom ,business ,Cohort study - Abstract
Bacterial endophthalmitis is an intraocular infection that causes rapid vison loss. Pathogens can infect the intraocular space directly (exogenous endophthalmitis (ExE)) or indirectly (endogenous endophthalmitis (EnE)). To identify predictive factors for the visual prognosis of Japanese patients with bacterial endophthalmitis, we retrospectively examined the bacterial endophthalmitis characteristics of 314 Japanese patients and performed statistics using these clinical data. Older patients, with significantly more severe clinical symptoms, were prevalent in the ExE group compared with the EnE group. However, the final best-corrected visual acuity (BCVA) was not significantly different between the ExE and EnE groups. Bacteria isolated from patients were not associated with age, sex, or presence of eye symptoms. Genus Streptococcus, Streptococcus pneumoniae, and Enterococcus were more prevalent in ExE patients than EnE patients and contributed to poor final BCVA. The presence of eye pain, bacterial identification, and poor BCVA at baseline were risk factors for final visual impairment.
- Published
- 2021