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Clinical review of endogenous endophthalmitis in Korea: a 14-year review of culture positive cases of two large hospitals Chung KS; Kim YK; Song YG; Kim CO; Han SH; Chin BS; Gu NS; Jeong SJ; Baek JH; Choi JY; Kim HY; Kim JMYonsei Med J 2011[Jul]; 52 (4): 630-4PURPOSE: To identify the clinical features and outcomes of endogenous endophthalmitis in Korea. MATERIALS AND METHODS: We reviewed 18 patients with endogenous endophthalmitis at 2 Korean hospitals, treated over a 14 year period between January 1993 and December 2006. RESULTS: The comorbidities observed in these cases were diabetes mellitus and liver cirrhosis. The most common pathogens, which were found in 7 patients each (38.9%), were Klebsiella pneumonia and Pseudomonas aeruginosa. All patients were treated with systemic antibiotics and fortified topical antibiotics. A surgical approach including vitrectomy was performed in 9 cases (50.0%). The prognosis was generally poor, and visual acuity improved slightly in 6 patients (33.3%). CONCLUSION: In this study, diabetes mellitus and Klebsiella pneumonia showed a close relationship with endogenous endophthalmitis, respectively. Endogenous endophthalmitis is a serious risk to sight and careful attention to establishing the diagnosis and management may decrease the ocular morbidity.|Aged[MESH]|Diabetes Complications/*epidemiology/microbiology[MESH]|Endophthalmitis/complications/*epidemiology/microbiology[MESH]|Female[MESH]|Humans[MESH]|Incidence[MESH]|Klebsiella pneumoniae/isolation & purification[MESH]|Liver Cirrhosis/*complications/epidemiology/microbiology[MESH]|Male[MESH]|Middle Aged[MESH]|Pseudomonas aeruginosa/isolation & purification[MESH]|Republic of Korea/epidemiology[MESH]|Retrospective Studies[MESH] |
