Clinical features, pathogens, and mortality of endogenous endophthalmitis: A 10-year retrospective review in Northern Taiwan.
Journal
Taiwan journal of ophthalmology
Journal Volume
15
Journal Issue
2
ISSN
2211-5072
Date Issued
2025
Author(s)
Chuang, Yu-Hsun
Lai, Po-Jung
Abstract
To comprehensively review the epidemiology, clinical features, causative pathogens, primary infection sites, and mortality of endogenous endophthalmitis (EE).
A retrospective review was conducted on patients diagnosed with EE at National Taiwan University Hospital between 2014 and 2024. Clinical data, including patient demographics, underlying systemic diseases, identified pathogens, infection sources, and outcomes, were analyzed.
Ninety-nine eyes from 91 patients with EE were enrolled. The majority of cases were bacterial (61.5%), followed by fungal infections (27.5%). A small number of cases had no documented pathogens. Bilateral involvement was more frequent in fungal cases. Among patients with endogenous bacterial endophthalmitis (EBE), was the most common causative pathogen, typically originating from liver abscesses. Diabetes mellitus (DM) was the most frequently associated systemic disease. In endogenous fungal endophthalmitis (EFE), was the predominant pathogen. Patients with EFE had a higher prevalence of bilateral involvement and increased mortality. Overall, the visual prognosis for EE patients was poor, regardless of the causative pathogen. Generalized estimating equations analysis identified female sex ( = 0.014), EFE ( < 0.001), bilateral involvement ( < 0.001), and DM ( = 0.014) as risk factors for mortality in EE.
EE remains a vision-threatening condition. . , frequently associated with liver abscesses, is the leading cause of EBE. . is the most common pathogen in EFE. However, patients with bilateral EFE have a higher mortality rate. Overall, final visual outcomes were generally poor, with many patients experiencing severe vision impairment despite treatment.
Subjects
Bacteria
Taiwan
endogenous
endophthalmitis
fungus
mortality
pathogens
SDGs
Type
journal article