Evidence map›Paper›PMID 31637487›Full record

Observational studyGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2020

Clinical and visual outcome of endophthalmitis patients: a single-center experience.

Marcel Kitsche, Robert Herber, Lutz E Pillunat, Naim Terai

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
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  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marcel KitscheDepartment of Ophthalmology, Carl Gustav Carus University Hospital Dresden, Fetscherstraße 74, 01307, Dresden, Germany. marcel.kitsche@uniklinikum-dresden.de.ORCID http://orcid.org/0000-0001-7779-891X
Robert HerberDepartment of Ophthalmology, Carl Gustav Carus University Hospital Dresden, Fetscherstraße 74, 01307, Dresden, Germany.
Lutz E PillunatDepartment of Ophthalmology, Carl Gustav Carus University Hospital Dresden, Fetscherstraße 74, 01307, Dresden, Germany.
Naim TeraiDepartment of Ophthalmology, Carl Gustav Carus University Hospital Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the clinical and visual outcome and the therapeutical management in a large cohort of endophthalmitis patients.

methodsIn a monocentric, observational study, we retrospectively analyzed the data of all patients with endophthalmitis who were referred to the department of ophthalmology of the Carl Gustav Carus Hospital Dresden between 2006 and 2018.

resultsIn total, data of 104 patients (49 female, 55 male) were included in the present analysis. The most frequent clinical scenario for endophthalmitis was postcataract surgery (30.8%). The most frequent treatment at presentation was a pars plana vitrectomy (ppV) in 42 patients, followed by an intravitreal antibiotic in 41 patients. Out of 41 patients who received an intravitreal antibiotic, 35 patients (85%) needed additional treatment. In contrast, out of 42 patients who received a ppV as the initial treatment, 19 patients (42%) needed additional therapy, which was significantly different (p < 0.0001). The best presenting visual acuity improved significantly after treatment (p < 0.0001).

conclusionThe results of the present study suggest that, compared with an intravitreal antibiotic, a ppV as the initial therapy of endophthalmitis might reduce the number of additional treatments. From our data, it can be hypothesized that a ppV should be performed as early as possible to achieve the best visual outcome in most endophthalmitis patients. Prospective studies are now needed to address this issue in greater detail and to confirm our findings.

Indexed as

Visual AcuityAgedAnti-Bacterial AgentsEndophthalmitisEye Infections, BacterialFemaleFollow-Up StudiesHumansMalePrognosisRetrospective StudiesSurgical Wound InfectionVitrectomyAnti-Bacterial AgentsAntibioticsEndophthalmitisIntravitreal injectionPars plana vitrectomyPhacoemulsification

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.