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ORIGINAL ARTICLE
Year : 2017  |  Volume : 5  |  Issue : 1  |  Page : 24-29

Post-operative infections at a Tertiary Eye Hospital: A 5-year retrospective study


Department of Ophthalmology, Nethradhama Super Speciality Eye Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Namita C Anagol
Nethradhama Super Speciality Eye Hospital, No 256/14, Kanakapura Main Road, 7th Block, Jayanagar, Bengaluru - 560 082, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpsic.jpsic_4_17

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Purpose: The purpose of this study is to evaluate and assess the incidence and outcomes of post-operative infections after eye surgeries. Materials and Methods: A 5-year retrospective study of all the post-operative infections was conducted at our institute with a detailed clinical and microbiological evaluation. All cases were treated with topical, systemic and/or intravitreal antibiotics. In addition to medical management, 7 eyes underwent pars plana vitrectomy, 3 underwent Keraring explantation and 1 underwent a secondary retinal detachment (RD) surgery. Results: Out of 54,359 surgeries done in the past 5 years, 19 cases of post-operative infections were recorded with 14 of them being endophthalmitis and the rest 5 were superficial infections (3 Keraring associated infiltrates, 1 corneal ulcer and 1 orbital cellulitis). Post-operative infection rate and post-operative endophthalmitis rate were found to be 0.0349' and 0.0257', respectively. Four (21') cases were culture positive - 2 cases of Staphylococcus aureus, 1 methicillin-resistant S. aureus and 1 Staphylococcus epidermidis. Twelve cases of endophthalmitis were acute in onset, and 2 were chronic onset endophthalmitis. Final visual outcome recorded at 1 month showed that 15 (79') patients recovered with good vision, whereas 4 (21') had a poor visual outcome. Of the 15 patients with good visual outcome, 6 (31.5') patients had final best-corrected vision >0.3 logMAR while 9 (47.3') had best-corrected vision of 0.3–1 logMAR. Four (21') patients with poor visual outcome had final vision <1 logMAR. Conclusions: A significantly low incidence of post-operative infections can be attributed to adherence of strict pre- and post-operative protocols as per the Hospital Infection Control guidelines. Early and prompt treatment reduced the risk of severe visual morbidity.


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