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著者: Ahila Lingappan, Charles C Wykoff, Thomas A Albini, Darlene Miller, Avinash Pathengay, Janet L Davis, Harry W Flynn
雑誌名: Am J Ophthalmol. 2012 Jan;153(1):162-6.e1. doi: 10.1016/j.ajo.2011.06.020. Epub 2011 Sep 13.
Abstract/Text
PURPOSE: To report the causative organisms, management strategies, and visual outcomes in endogenous fungal endophthalmitis. DESIGN: Observational case series. METHODS: Microbiologic and medical records were reviewed retrospectively for all patients with culture-positive endogenous fungal endophthalmitis between January 1, 1990, and July 1, 2009. RESULTS: Study criteria were met in 65 eyes of 51 patients with mean follow-up of 18 months. Yeasts were the most common causative organism in 38 (75%) patients compared with molds in 13 (25%) patients. Retinal detachment occurred in 17 eyes (26%). Visual acuity of 20/200 or better was present in 28 (56%) eyes with yeasts and in 5 (33%) eyes with molds at the last follow-up. CONCLUSIONS: Yeasts were the most common cause of culture-proven unilateral or bilateral endogenous fungal endophthalmitis. Endogenous fungal endophthalmitis generally is associated with poor visual acuity outcomes, especially when caused by molds. Retinal detachment is a frequent occurrence during follow-up.
Copyright © 2012 Elsevier Inc. All rights reserved.
PMID 21917234 Am J Ophthalmol. 2012 Jan;153(1):162-6.e1. doi: 10.1016/j.ajo.2011.06.020. Epub 2011 Sep 13.
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