A lack of ongoing diabetes is an important factor in preserving eyes from late or suboptimally treated endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess |
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| Authors: | Shwu-Jiuan Sheu Yao-Shen Chen Huey-Shyan Lin Shih-Lin Chen Pei-Jan Tsai |
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| Affiliation: | aDepartment of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan;bDepartment of Ophthalmology, School of Medicine, National Yang-Ming University, Taipei, Taiwan;cDepartment of Infection, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan;dSchool of Nursing, Fooyin University, Kaohsiung, Taiwan |
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| Abstract: | ![]()
Purpose:The purpose of this study is to identify the possible factors for preserving the eyes after late or suboptimally treated endogenous endophthalmitis secondary to Klebsiella pneumoniae (KP) liver abscess.Methods:A retrospective chart review was conducted for patients admitted with KP liver abscess from January 1991 to June 2012.Results:Six hundred and ninety-three patients with KP liver abscess were recorded, in which endophthalmitis was identified in 53 cases (65 eyes, 8.29%). Diabetes was significantly associated with the development of endophthalmitis (p = 0.014). Eleven eyes received their last ocular treatment ≥10 days and final vision ≥ counting fingers, and were defined as benign type KP endophthalmitis. The absence of diabetes was the only consistent candidate factor for benign type KP endophthalmitis.Conclusion:A lack of ongoing diabetes is an important factor in preserving eyes with late or suboptimally treated endogenous endophthalmitis second to KP liver abscess. |
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| Keywords: | diabetes endophthalmitis Klebsiella pneumoniae (KP) liver abscess treatment |
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