PSEUDOPHAKIC ENDOPHTHALMITIS

We performed a retrospective study on 45 patients admitted to the Rott erdam Eye Hospital and the Ophthalmic Department of the Academic Medic al Center in Amsterdam with pseudophakic endophthalmitis. Vitreous los s during cataract extraction was associated with a significantly incre ased risk of postoperative endophthalmitis when compared with uncompli cated cataract extraction (p < 0.0001). The incidence of pseudophakic endophthalmitis in diabetic patients was not significantly higher as c ompared to non-diabetic patients. Vitrectomy in the treatment of posto perative endophthalmitis did not improve the final visual acuity, prob ably because of selection bias. Methicillin and cephazolin, used intra vitreally against gram-positive organisms, failed to provide a good co verage for endophthalmitis due to Staphylococcus epidermidis.