Baseline Factors Predictive of Visual Prognosis in Acute Postoperative Bacterial Endophthalmitis in Patients Undergoing Cataract Surgery

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Abstract
Postoperative endophthalmitis in patients undergoing cataract surgery is a rare (approximately 0.08% of cataract procedures)1,2 but serious complication that can lead to anatomical and/or functional loss of the eye. Significant advances have been achieved in the field of antibiotic prophylaxis (intracameral injection of cefuroxime sodium, 10 mg/mL)3-5 and microbiological diagnosis.6-9 The identification of baseline prognostic factors at the time of modern clear corneal cataract surgery remains an important step to identify patients who need aggressive therapy as early as possible. Polymerase chain reaction (PCR)–based techniques now provide accurate and rapid identification of the microorganisms directly involved in intraocular samples. These methods will make rapid adaptation of the therapeutic strategy to clinical and microbiological factors possible and give more objective information to the patient.

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