Treatment of Infectious Endophthalmitis.

Seo, Byung Ro; Min, Woog Ki; Ahn, Byung Hun

Original Article

Journal of the Korean Ophthalmological Society 1991;32(7):561-568.
Published online July 1, 1991.

Treatment of Infectious Endophthalmitis.

Byung Ro Seo, Woog Ki Min, Byung Hun Ahn

Department of ophthalmology, College of Medicine, Chungnam National University, Taejon, Korea.

감염성 안내염의 치료

서병로(Byung Ro Seo),민욱기(Woog Ki Min),안병헌(Byung Hun Ahn)

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.

Key Words: Endophthalmitis;Intravitreal antibiotics;Membrane filter Vitrectomy