Presentation and Prognosis
Postcataract infectious endophthalmitis presents most commonly with blurred vision, pain, and intraocular inflammation at a median of six days after cataract surgery. Diagnosis may be difficult, as one-fourth of patients do not experience pain, 14% do not have a hypopyon, and presentation may be delayed for months. Prognosis is also variable, and although final visual acuity is light perception or worse in approximately one-quarter of patients, up to 44% will achieve final visual acuity of 20/40 or better. In the EVS, visual acuity at presentation was the biggest predictor of final visual acuity, but older age, diabetes status, open posterior capsule, and corneal infiltrate also indicated a worse prognosis.
Curr Opin Ophthalmol. 2021;32(1):62-68. © 2021 Lippincott Williams & Wilkins