Retinal Vasculitis and Posterior Pole Preretinal Exudates in Exogenous Bacterial Endophthalmitis: Management and Visual Outcomes

Abstract

ABSTRACT Purpose To investigate the clinical settings and features, management, and visual outcomes of exogenous bacterial endophthalmitis with retinal vasculitis and posterior pole preretinal exudates. Methods Retrospectively reviewed records for 40 eyes of 40 patients. Results Retinal vasculitis was identified with focal type in eight eyes and diffuse type in 32 eyes. Posterior pole preretinal exudates were identified with discrete type in 23 eyes and condensed type in 17 eyes. Final VA was 20/200 or better in 23 of 40 eyes (57.5%). Multivariate linear regression revealed that condensed posterior pole preretinal exudates (P =.005) and ocular hypertension (P =.012) were the significant independent factors for poor visual outcomes. Conclusions Condensed posterior pole preretinal exudates and ocular hypertension are critical prognostic factors for poor visual outcomes.