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CLINICAL CHARACTERISTICS AND VISUAL OUTCOMES IN ENDOPHTHALMITIS AFTER KERATOPROSTHESIS IMPLANTATION.

Publication ,  Journal Article
Lee, T; Robbins, CB; Wisely, CE; Grewal, DS; Daluvoy, MB; Fekrat, S
Published in: Retina
February 1, 2022

PURPOSE: To describe the presentation, microbiology, management, and prognosis of eyes with endophthalmitis after Boston keratoprosthesis implantation. METHODS: Retrospective case series with history, diagnostics, management, and outcomes data in endophthalmitis after keratoprosthesis implantation presenting to a tertiary center between 2009 and 2020. RESULTS: Of 137 keratoprosthesis-implanted eyes, 7 eyes of 7 patients (5%) developed endophthalmitis. On presentation, 6 (86%) reported decreased visual acuity, and only 1 (14%) reported pain. Peripheral corneal ulcers were present in 2 eyes (29%). Seidel testing was negative in all cases. Six eyes (86%) had retroprosthetic membranes. One (14%) underwent initial pars plana vitrectomy with mechanical vitreous biopsy, whereas 6 (86%) received a needle vitreous tap-half of which were dry. Organisms were isolated after vitreous tap in two eyes: Streptococcus intermedius and Mycobacterium abscessus. The mean visual acuity preendophthalmitis, at presentation, and at 6 months were 20/267, 20/5,944, and 20/734, respectively. The visual acuity improved 9.08 ± 11.78 Early Treatment Diabetic Retinopathy Study lines from presentation to 6 months. Six-month visual acuity was correlated with preendophthalmitis visual acuity (r = 0.92, P = 0.003) but not presenting visual acuity (P = 0.838). CONCLUSION: Visual acuity at 6 months is correlated with preendophthalmitis visual acuity, not presenting visual acuity. Endophthalmitis should be considered in the differential diagnosis of painless intraocular inflammation any time after keratoprosthesis implantation, even if Seidel negative.

Duke Scholars

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Published In

Retina

DOI

EISSN

1539-2864

Publication Date

February 1, 2022

Volume

42

Issue

2

Start / End Page

321 / 327

Location

United States

Related Subject Headings

  • Vitreous Body
  • Vitrectomy
  • Visual Acuity
  • Streptococcus intermedius
  • Streptococcal Infections
  • Retrospective Studies
  • Prosthesis Implantation
  • Prostheses and Implants
  • Postoperative Complications
  • Ophthalmology & Optometry
 

Citation

APA
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ICMJE
MLA
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Lee, T., Robbins, C. B., Wisely, C. E., Grewal, D. S., Daluvoy, M. B., & Fekrat, S. (2022). CLINICAL CHARACTERISTICS AND VISUAL OUTCOMES IN ENDOPHTHALMITIS AFTER KERATOPROSTHESIS IMPLANTATION. Retina, 42(2), 321–327. https://doi.org/10.1097/IAE.0000000000003300
Lee, Terry, Cason B. Robbins, Clayton E. Wisely, Dilraj S. Grewal, Melissa B. Daluvoy, and Sharon Fekrat. “CLINICAL CHARACTERISTICS AND VISUAL OUTCOMES IN ENDOPHTHALMITIS AFTER KERATOPROSTHESIS IMPLANTATION.Retina 42, no. 2 (February 1, 2022): 321–27. https://doi.org/10.1097/IAE.0000000000003300.
Lee T, Robbins CB, Wisely CE, Grewal DS, Daluvoy MB, Fekrat S. CLINICAL CHARACTERISTICS AND VISUAL OUTCOMES IN ENDOPHTHALMITIS AFTER KERATOPROSTHESIS IMPLANTATION. Retina. 2022 Feb 1;42(2):321–7.
Lee, Terry, et al. “CLINICAL CHARACTERISTICS AND VISUAL OUTCOMES IN ENDOPHTHALMITIS AFTER KERATOPROSTHESIS IMPLANTATION.Retina, vol. 42, no. 2, Feb. 2022, pp. 321–27. Pubmed, doi:10.1097/IAE.0000000000003300.
Lee T, Robbins CB, Wisely CE, Grewal DS, Daluvoy MB, Fekrat S. CLINICAL CHARACTERISTICS AND VISUAL OUTCOMES IN ENDOPHTHALMITIS AFTER KERATOPROSTHESIS IMPLANTATION. Retina. 2022 Feb 1;42(2):321–327.

Published In

Retina

DOI

EISSN

1539-2864

Publication Date

February 1, 2022

Volume

42

Issue

2

Start / End Page

321 / 327

Location

United States

Related Subject Headings

  • Vitreous Body
  • Vitrectomy
  • Visual Acuity
  • Streptococcus intermedius
  • Streptococcal Infections
  • Retrospective Studies
  • Prosthesis Implantation
  • Prostheses and Implants
  • Postoperative Complications
  • Ophthalmology & Optometry