Endophthalmitis Follow-up

Updated: Apr 06, 2015
  • Author: Daniel J Egan, MD; Chief Editor: Robert E O'Connor, MD, MPH  more...
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Follow-up

Transfer

The emergency department physician should consider transfer to another facility if ophthalmology consultation is not available at his or her institution.

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Deterrence/Prevention

Use of appropriate protective eyewear can decrease risk of ocular trauma or globe penetration in certain circumstances.

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Complications

Complications of endophthalmitis may include the following:

  • Impairment of vision
  • Complete loss of vision
  • Loss of eye architecture
  • Enucleation
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Prognosis

The prognosis is extremely variable because of the variety of organisms involved. The visual acuity at the time of the diagnosis and the causative agent are most predictive of outcome. Streptococcal infections tend to do worse than coagulase-negative staphylococcal infections.

The outcome of endogenous endophthalmitis is generally worse than exogenous endophthalmitis due to the profile of the organisms typically involved with this form (ie, more virulent organisms, compromised host, delay in diagnosis).

Patients in the traumatic subgroup, especially those caused by Bacillus infection typically have a poor visual outcome.

In the endophthalmitis vitrectomy study group, 74% of patients had visual recovery of 20/100 or better. [20]

The prognosis appears to also be related to the patient's underlying health conditions, with one study demonstrating worsened outcomes among diabetic patients.

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