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ID 117357
Author
Ishikawa, Hiroto Hyogo College of Medicine
Uchida, Kazutaka Hyogo College of Medicine
Takesue, Yoshio Hyogo College of Medicine
Mori, Junya Sapporo City General Hospital
Kinoshita, Takamasa Sapporo City General Hospital
Morikawa, Shohei University of Tsukuba
Okamoto, Fumiki University of Tsukuba
Sawada, Tomoko Shiga University of Medical Science
Ohji, Masahito Shiga University of Medical Science
Kanda, Takayuki National Defense Medical College
Takeuchi, Masaru National Defense Medical College
Miki, Akiko Kobe University
Kusuhara, Sentaro Kobe University
Ueda, Tetsuo Nara Medical University
Ogata, Nahoko Nara Medical University
Sugimoto, Masahiko Mie University
Kondo, Mineo Mie University
Yoshida, Shigeo Kurume University
Ogata, Tadahiko Yamaguchi University
Kimura, Kazuhiro Yamaguchi University
Jujo, Tatsuya St. Marianna University School of Medicine
Takagi, Hitoshi St. Marianna University School of Medicine
Terasaki, Hiroto Kagoshima University
Sakamoto, Taiji Kagoshima University
Sugisawa, Takaaki Hyogo College of Medicine
Komuku, Yuki Hyogo College of Medicine
Gomi, Fumi Hyogo College of Medicine
Keywords
endophthalmitis
exogenous endophthalmitis
endogenous endophthalmitis
retrospective study
vitrectomy
visual acuity
Content Type
Journal Article
Description
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.
Journal Title
Pathogens
ISSN
20760817
Publisher
MDPI
Volume
10
Issue
4
Start Page
390
Published Date
2021-03-24
Rights
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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DOI (Published Version)
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language
eng
TextVersion
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departments
University Hospital
Medical Sciences