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- W1990852845 abstract "In Brief Purpose: To investigate the clinical settings, treatment given, and visual outcomes for eyes with Pseudomonas aeruginosa endophthalmitis in Taiwan. Methods: This is a retrospective, noncomparative, consecutive case series. Medical records were reviewed in 72 eyes of 71 patients with culture-proven P. aeruginosa endophthalmitis between January 1997 and December 2007. Results: The clinical settings included keratitis/scleritis (44.4%), cataract surgery (15.3%), penetrating keratoplasty (13.9%), endogenous source (12.5%), trauma (6.9%), penetrating keratoplasty with cataract surgery (2.8%), trabeculectomy with cataract surgery (1.4%), trabeculectomy (1.4%), and secondary implant (1.4%). Initial visual acuity ranged from counting fingers to no light perception. Final visual acuity was better than 5/200 in 6 of 72 eyes (8.3%), 4/200 to hand motions in 4 eyes (5.6%), and light perception to no light perception in 62 eyes (86.1%). In vitro testing, the susceptibility patterns of organisms isolated were as follows: ceftazidime (100%), cefepime (100%), aztreonam (100%), imipenem (99%), amikacin (94%), and gentamicin (86%). Five of 16 eyes (31.3%) that underwent primary or secondary pars plana vitrectomy with intravitreal antibiotics achieved a final visual acuity of 5/200 or better compared with 1 of 45 eyes (2.2%) treated with 1 or multiple vitreous tap(s) and intravitreal antibiotics (Fisher's exact test, P = 0.004). Conclusion: Despite early diagnosis and treatment with intravitreal antibiotics, visual acuity outcomes were generally poor. Endophthalmitis caused by Pseudomonas aeruginosa is usually associated with poor visual prognosis. Early diagnosis and intervention such as pars plana vitrectomy may be associated with a favorable visual outcome." @default.
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- W1990852845 date "2011-06-01" @default.
- W1990852845 modified "2023-10-18" @default.
- W1990852845 title "ENDOPHTHALMITIS CAUSED BY PSEUDOMONAS AERUGINOSA IN TAIWAN" @default.
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- W1990852845 doi "https://doi.org/10.1097/iae.0b013e3181fbce5c" @default.
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