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Wydanie 1/2004

Występowanie zapalenia wnętrza gałki ocznej po zabiegu usunięcia zaćmy metodą fakoemulsyfikacji

Incidence of endophthalmitis after cataract phacoemulsyfication

Edward Wylęgała, Jolanta Łogiewa-Toborek, Dorota Tarnawska, Dariusz Dobrowolski

Oddział Okulistyki Okręgowego Szpitala Kolejowego w Katowicach Ordynator: dr n. med. Edward Wylęgała

Summary: The incidence of endophthalmitis, risk factors and responsible pathogens were assessed in group of 3720 eyes that underwent clear corneal cataract surgery. Endophthalmitis occurred in 14 eyes (0,37%). The average onset was 5,2 days (ranged 2-10 days) after phacoemulsication. Diabetes, neoplastic disease, rheumatoid arthritis, patients? noncompliance were found to be the risk factors for endophthalmitis after cataract surgery. Endophthalmitis occurred more often in elderly (mean age 72,4 years). 9 of 14 cases were culture-positive endophthalmitis with isolated and specified pathogens. The risk of endophthalmitis increases in cases with coexisting systemic diseases, at older age, and in cases of patients? noncompliance.

Keywords: endophthalmitis, clear corneal cataract surgery, complications.

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