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  • Title: Staphylococcus epidermidis endophthalmitis. Visual outcome following noninvasive therapy.
    Author: O'Day DM, Jones DB, Patrinely J, Elliott JH.
    Journal: Ophthalmology; 1982 Apr; 89(4):354-60. PubMed ID: 6980389.
    Abstract:
    Staphylococcus epidermidis has been reported with increasing frequency as a cause of bacterial endophthalmitis. Over the past eight years 18 consecutive postsurgical cases have been treated by combined antibiotic-corticosteroid therapy without intravitreal antibiotics or vitrectomy. Fourteen (78%) achieved a final visual acuity of 20/50 or better. When these cases were added to similarly reported cases in the literature, 72% achieved this level of vision. By contrast, 42% of adequately documented cases in the literature treated by intravitreal antibiotics, and 42% treated additionally by vitrectomy, achieved a vision of 20/50 or better. S. epidermidis is an organism with a low order of virulence. The use of intravitreal antibiotics and vitrectomy do not appear to be necessary for effective treatment.
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