| 발표일자: |
2014년 4월 12일(토) ~ 4월 13일(일) |
| 발표번호: |
P(판넬)-019 |
| 발표장소: |
킨텍스 제2전시장 7B홀 |
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| Changing Cause, Prognosis, and treatment strategies of Fungal endophthalmitis; 7 year experience at tertiary referral center |
| 울산대학교 의과대학 서울아산병원 안과학교실1
울산대학교 의과대학 울산대학교병원 안과학교실2 |
| 김동윤1, 김윤전1, 양현승2, 이주용1, 김중곤1, 윤영희1 |
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목적 : To analyze the causes, prognosis, treatment strategies of fungal endophthalmitis
방법 : Retrospective review was conducted to the patients who diagnosed with fungal endophthalmitis. Isolated fungal organism was analyzed in each patients. Visual prognosis according to route of infection and treatment strategies was analyzed
결과 : 40 eyes with fungal endophthalmitis were included this study. Candidas were the most common causative organism in 35/40 eyes. 33 eyes and 7 eyes were endogenous endophthalmitis (EN) and exogenous endophthalmitis (EX), respectively. Pretreatment and posttreatment BCVA were not significantly different between EN and EX. 14 eyes were treated by vitrectomy. 16, 9 and 1 eyes were treated by intravitreal antifungal agent injection, intravenous antifungal agent alone and eviceration, respectively. Only in vitrectomy group, posttreatment BCVA was significantly improved after treatment.
결론 : Candida species were most common causes of fungal endophthalmitis regardless of route of injection. The visual prognosis of fungal endophthalmitis was generally poor. However, if the general condition of the patient permitted to the surgical procedure, prompt vitrectomy and intravitreal antifungal agent injection could improve visual acuity.
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