J Korean Ophthalmol Soc.  1991 Jul;32(7):561-568.

Treatment of Infectious Endophthalmitis

• Seo BR
• Min WK
• Ahn BH

Abstract

Endophthalmitis is a rare but catastrophic complication of intraocular surqeries and penetrating injuries. In spite of advances in diagnosis and therapy, the overall prognosis for recovery of useful vision has been regarded as poor. We experienced eight cases of endophthalmitis and performed vitrectomy combined with intravitreal antibiotics. Four(50%) had a final isual acuty of 0.2 or better. Vitrectomy was performed in cases of advanced intraocular inflammation, and intraocular lens was removed for suspected fungal endophthalmitis or to facilitate performance of a vitrectomy. A sample of vitreous, diluted by the irrigating solution, was passed through a disposable membrane filter system and inoculated into the culture media. Modification of therapy after initial broad spectrum antibiotics was based on the culture results and clinical responses. Repetitive intraocular antibiotic injections or reoperation were performed in severe cases.

Keyword

Endophthalmitis; Intravitreal antibiotics; Membrane filter Vitrectomy

MeSH Terms

Anti-Bacterial Agents
Culture Media
Diagnosis
Endophthalmitis*
Inflammation
Lenses, Intraocular
Membranes
Prognosis
Reoperation
Vitrectomy
Anti-Bacterial Agents
Culture Media