Nghiên cứu đặc điểm lâm sàng viêm mủ nội nhãn nội sinh do vi khuẩn

Objectives: Clinical and paraclinical features of bacterial endogenous endophthalmitis (BEE). Patients: 108 patients (108 eyes) with BEE were treated at VNIO from August 2008 to October 2010. Methods: descriptive prospective study including clinical and paraclinical exams. Criteria for evaluation: age, sex, risk factors, disease duration, visual acuity, intraocular pressure, corneal status, AC, vitreous body, ultrasound,AC and vitreous taps. Results: average age 321 + or - 15.8. No risk factors in 75 percent. Disease duration before admission: under 1 week (7 days) 68.5 percent. Initial VA: LP (+) to CF 1m in 92.6 percent. Nonnal IOP in 95.4 percent. Corneal opacity in 89.8 percent. Hypopion: 100 percent. Vitreous opacity: grade 4 in 16.7 percent, grade 5: 83.3 percent. Ultrasound: moderately opaque 30.6 percent, severely opaque with masses 69.4 percent. Bacteria were found in AC taps of 49.1 percent, and in vitreous taps of 81.5 percent. Conclusion: BEE was a severe disease with diverse clinical manifestations. Bacteria were easily found in smears although the rate of positive cultures remained low.