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Clinical characteristics of endogenous Klebsiella pneumoniae endophthalmitis: a 13-year experience

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Abstract

Purpose

This study aimed to investigate the clinical features and risk factors for poor visual outcomes in patients with endogenous Klebsiella pneumoniae endophthalmitis (EKE).

Methods

This retrospective interventional case series reviewed the medical records of 17 patients (21 eyes) with EKE from January 2007 to December 2019. Clinical findings, treatments, visual outcomes, and potential prognostic factors were evaluated.

Results

The mean age of the patients was 55.9 years and 13 patients (76.5%) were males. Diabetes (23.5%) was the most commonly associated systemic disease and liver abscess (70.6%) was the major infection source. Poor initial visual acuity worse than counting fingers was significantly associated with poor final visual outcome (p = 0.003). In this study, adjunctive intravitreal dexamethasone injection and primary vitrectomy were not associated with final visual outcome. Secondary enucleation/evisceration was performed in 14.3%.

Conclusions

EKE usually has a poor visual prognosis, and early diagnosis with fair initial visual acuity would be crucial in saving vision.

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Funding

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) under 2019R1A2C2002393 (C.S.L.). The funding organization had no role in the design or conduct of this research.

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Authors and Affiliations

  1. Department of Ophthalmology, The Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea

    Ji Hwan Lee, Hee Suk Kim, Suk Ho Byeon, Sung Soo Kim, Hyoung Jun Koh & Christopher Seungkyu Lee

  2. Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Republic of Korea

    Sung Chul Lee

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  1. Ji Hwan Lee
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Correspondence to Christopher Seungkyu Lee.

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Ethical approval

This study was approved by the institutional review board of Severance Hospital, Yonsei University College of Medicine (IRB No. 2021–2065-001), and patient informed consent was not required.

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Presented in Part as an Oral Presentation at 15th International Ocular Inflammation Society Congress 2019, Kaohsiung, Taiwan.

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Lee, J.H., Kim, H.S., Byeon, S.H. et al. Clinical characteristics of endogenous Klebsiella pneumoniae endophthalmitis: a 13-year experience. Int Ophthalmol 42, 2533–2539 (2022). https://doi.org/10.1007/s10792-022-02301-w

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  • DOI: https://doi.org/10.1007/s10792-022-02301-w

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