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Kodjikian, L. et al.

Laurent Kodjikian, Annie Salvanet-Bouccara, Sophie Grillon, Françoise Forestier, Jean-Luc Seegmuller, Gilles Berdeaux,

Postcataract acute endophthalmitis in France: national prospective survey.

PURPOSE: To report results of the National French Observational Database for Endophthalmitis (Observatoire National Des Endophtalmies [ONDE]). SETTING: Departments of ophthalmology at universities, general hospitals, and private clinics. METHODS: In this multicenter national interventional case series, data were collected prospectively between March 1, 2003, and November 1, 2004, from French ophthalmologists who answered a standardized 175-item questionnaire. The data were from patients with acute-onset endophthalmitis after cataract surgery. Before surgery, all 105 patients had received an official information card from the French Ophthalmological Society and provided written informed consent. RESULTS: The study comprised 105 patients. The median time from cataract extraction to endophthalmitis was 4 days (range 1 to 39 days). All but 1 patient had symptoms, with blurred vision being the most common. Initial visual acuity was 5/200 or better in 18.9% (18/95) of patients. Intraocular samples from 90.5% (95/105) of patients yielded 45 pathogens, of which 86.7% were gram positive. Treatments included intraocular antibiotic injections in 95.1% (98/103) of patients, intraocular steroid injections in 41.4% (41/99) of patients, and immediate vitrectomy in 14.0% (14/100) of patients. Visual acuity at 3 months was 20/100 in 64% of patients. CONCLUSIONS: The ONDE study disclosed important changes in French ophthalmic surgical practice 15 years after the first prospective endophthalmitis survey and 12 years after a United States study were published. Progress toward standardization of preventive methods (eg, patient information, increased systemic antibiotic efficacy, more frequent corticosteroid use) has contributed to fewer vitrectomies.[1]

References

Postcataract acute endophthalmitis in France: national prospective survey. Kodjikian, L., Salvanet-Bouccara, A., Grillon, S., Forestier, F., Seegmuller, J.L., Berdeaux, G. J. Cataract. Refract. Surg (2009) [Pubmed]

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