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Endophthalmitis management with repeated intravitreal injections

Session Details

Session Title: Quick Fire Free Paper Session 03

Session Date/Time: Sunday 29/09/2013 | 08:30-09:30

Paper Time: 09:30

Venue: Hall C (Level 1)

First Author: A.Abraham INDIA

Co Author(s):                  

Abstract Details

Purpose:

To emphasise the importance of repeated intravitreal injections rather than vitrectomy in the management of post-operative endophthalmitis

Setting:

Swarup Eye Centre, Htderabad, India

Methods:

Four cases of culture proven post-operative endophthalmitis are described. Each presented with visual acuity worse than hand movements. Two to three doses of intravitreal antibiotics were given at interval of 48 hours. No vitrectomy was done. Intravitreal dexamethasone was given with the third dose in one case. All patients were also on oral antibiotics and steroids.

Results:

All cases resolved with complete clearing of the vitreous cavity in 3-4 weeks. Visual acuity depended on the pre-operative condition of the retina, and did not change due to the endophthalmitis. One patient developed an epiretinal membrane at 5 months and required vitrectomy.

Conclusions:

Repeated intravitreal antibiotics may alleviate the need for vitrectomy and hence minimize the risk of retinal detachment in post-operative endophthalmitis

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