Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2006  |  Volume : 54  |  Issue : 1  |  Page : 5--10

Clinico-microbiological profile and visual outcomes of post-traumatic endophthalmitis at a tertiary eye care center in South India


Vasumathy Vedantham, Praveen K Nirmalan, Kim Ramasamy, Karthik Prakash, Perumalsamy Namperumalsamy 
 Aravind Eye Hospital and PG Institute of Ophthalmology, 1, Anna Nagar, Madurai, TamilNadu-625020, India

Correspondence Address:
Vasumathy Vedantham
Aravind Eye hospital and PG Institute of Ophthalmology, 1, Anna Nagar, Madurai, Tamil Nadu 625020
India

Purpose: To analyze the clinical and microbiological characteristics of eyes with post-traumatic endophthalmitis and factors influencing the visual outcomes in these cases. Methods: We performed a retrospective chart analysis of the clinical and microbiological data of 97 consecutive patients with post-traumatic endophthalmitis presenting to a tertiary eye care hospital in South India. Results: Thirty-nine (40.2%) cases were culture-positive, Gram-positive cocci (n=24/42, 57.1%) being the commonest isolates. Staphylococcus epidermidis and Pseudomonas aeuruginosa were the commonest single isolates (n=10; 23.8%). Majority of the organisms were sensitive to chloramphenicol (n=27) or ciprofloxacin (n=26). Susceptibility to vancomycin (n=3) and amikacin (n=4) was poor. Cases with negative cultures at presentation were more likely to have improvement in visual acuity compared with culture-positive cases (on multivariate analysis, OR: 3.2, 95% CI: 1.1, 9.0). Conclusions: In this series of post-traumatic endophthalmitis, a high prevalence of resistance of the culture isolates to vancomycin and amikacin was observed.


How to cite this article:
Vedantham V, Nirmalan PK, Ramasamy K, Prakash K, Namperumalsamy P. Clinico-microbiological profile and visual outcomes of post-traumatic endophthalmitis at a tertiary eye care center in South India.Indian J Ophthalmol 2006;54:5-10


How to cite this URL:
Vedantham V, Nirmalan PK, Ramasamy K, Prakash K, Namperumalsamy P. Clinico-microbiological profile and visual outcomes of post-traumatic endophthalmitis at a tertiary eye care center in South India. Indian J Ophthalmol [serial online] 2006 [cited 2021 Mar 3 ];54:5-10
Available from: https://www.ijo.in/article.asp?issn=0301-4738;year=2006;volume=54;issue=1;spage=5;epage=10;aulast=Vedantham;type=0