About this Journal Submit a Manuscript Table of Contents
International Journal of Inflammation
Volume 2012 (2012), Article ID 313248, 6 pages
http://dx.doi.org/10.1155/2012/313248
Review Article

Chronic Postoperative Endophthalmitis: A Review of Clinical Characteristics, Microbiology, Treatment Strategies, and Outcomes

Ocular Immunology and Uveitis Service, Department of Ophthalmology, American University of Beirut, Riad El Solh 11072020, Beirut, Lebanon

Received 15 October 2011; Revised 10 January 2012; Accepted 29 January 2012

Academic Editor: Meredith Gregory-Ksander

Copyright © 2012 Fadi Maalouf et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chronic postoperative endophthalmitis (CPE) is a delayed infectious intraocular inflammation process that occurs more than six weeks after ocular surgery and frequently masquerades as autoimmune uveitis. These cases are at risk of delayed diagnosis and erroneous long-term treatment with corticosteroids. This paper aims to review the epidemiology, microbiology, clinical characteristics, diagnosis, management strategies, and outcome of chronic postoperative endophthalmitis. The incidence of CPE is still uncommon, and multiple pathogens have been reported with varying frequencies. Review of the literature reveals that CPE cases have a high incidence of visual impairment and recurrence rate might be decreased with aggressive surgical approach.