Endogenous Bacterial Endophthalmitis

Pisit Preechawat, M.D.

Skowrat Kunavisarut, M.D.

ABSTRACT Purpose : To study the systemic and ocular characteristic, microbiology, therapeutic methods and final visual outcome in patients with endogenous bacterial endophthalmitis.

Methods : A review of medical records during 6 year period from 1995 till 2000

Results : Thirty-six eyes of 32 patients had endogenous bacterial endo-phthalmitis. Forty percents of the patients had underlying illness, and diabetes mellitus was the most common association. Responsible organisms were identified in 50% of patients, in which gram positive and gram negative organisms represented in each half. Streptococcal species were the most common group, whereas Klebsiella pneumoniae was the single most common organism. Sources of infection were identified in 47% of patients, with liver abscess and sinusitis being the most common. The majority of patients had poor visual outcome even with aggressive broad spectrum antibiotic treatment, 60% of which obtained final visual acuities of 20/200 or better.

Conclusion : This study provides a more clinical information of endogenous bacterial endophthalmitis in Thailand.

Thai J Ophthalmol 2000 ; July-December 14(2) : 145-154.