Author(s): Nahid Hatami
Background: The clinical symptoms, causative causes, microbiological results and vision of patients with endophthalmitis referred to Khatam al-Anbia hospital in Mashhad were investigated in this study.
Methods: In a cross-sectional descriptive study, all data of patients with definitive diagnosis of infectious endophthalmitis in the Infection Control Committee of Khatam al-Anbia hospital were recorded from January 2016 to June 2016. The findings were analyzed using SPSS version 22.
Results: At present study, 182 patients with endophthalmitis were studied, of which 60 (33%) were male and 122 (67%) were female. There was significant difference between the two groups (men and women) in terms of the type of endophthalmitis (p<0.05). Eighty eight patients (78.6%) had no endophthalmitis related risk factors and 16 patients (14.3%) had the MGD symptoms.
The most common type of infection in endogenous enophthalmitis was urinary tract infection with frequency of 4 cases (11.8%) followed by pneumonia and sepsis with frequency of 3 cases (8.8%). The vitreous smear results revealed that 58 patients (35.6%) had gram-positive cocci. The highest number of gram-positive cocci was in the postoperative group, and the lowest number was in the bleb group, although no significant difference was seen between the two groups in terms of gram-positive cocci (P>0.05). Fourteen patients (8.6%) had Staphylococcus epidermis and vitreous culture of Staphylococcus aureus was seen in eight patients (4.9%).
Conclusion: The most common cause of endophthalmitis in the current study was surgery.
