Back to Search
Start Over
[Postoperative infections in systemic immunocompromising diseases. A study of 6 patients].
- Source :
-
Klinische Monatsblatter fur Augenheilkunde [Klin Monbl Augenheilkd] 1991 Mar; Vol. 198 (3), pp. 190-4. - Publication Year :
- 1991
-
Abstract
- Advances of therapeutic strategies in the management of critically ill patients have resulted in an increased life expectancy and more frequent presentations to ophthalmic surgeons. Six patients with postoperative endophthalmitis after elective intraocular surgery suffering from Sharp-syndrome, metastasizing antrum carcinoma, granulomatous vasculitis and immunosuppressive therapy, agranulocytosis, silico-tuberculosis and chronic lymphatic leukemia revealed traditionally pathogenic agents (Proteus mirabilis, P. aeruginosa, enterococci, coagulase-negative Staph). Two patients had to be enucleated, one turned blind and three had a visual acuity 5/100 to 20/60. In our hands prognosis for successful therapy in immunodeficient patients seems worse than in otherwise healthy persons. Painstaking evaluation of history, medical work-up, conjunctival swabs and application of bactericidal topical antibiotics preoperatively and perioperatively are particularly important in these patients.
- Subjects :
- Aged
Aged, 80 and over
Anti-Bacterial Agents
Bacteria drug effects
Bacteria isolation & purification
Conjunctiva microbiology
Drug Therapy, Combination administration & dosage
Endophthalmitis microbiology
Endophthalmitis surgery
Eye Enucleation
Female
Follow-Up Studies
Humans
Lenses, Intraocular
Male
Microbial Sensitivity Tests
Middle Aged
Opportunistic Infections microbiology
Opportunistic Infections surgery
Reoperation
Retinal Detachment surgery
Surgical Wound Infection microbiology
Surgical Wound Infection surgery
Vitrectomy
Endophthalmitis diagnosis
Eye Diseases surgery
Opportunistic Infections diagnosis
Surgical Wound Infection diagnosis
Subjects
Details
- Language :
- German
- ISSN :
- 0023-2165
- Volume :
- 198
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Klinische Monatsblatter fur Augenheilkunde
- Publication Type :
- Academic Journal
- Accession number :
- 2056737
- Full Text :
- https://doi.org/10.1055/s-2008-1045950