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Acute-Onset Postoperative Endophthalmitis

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Endophthalmitis

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Abstract

Acute-onset postoperative endophthalmitis is an uncommon but potentially severe complication of intraocular surgery. Acute-onset postoperative endophthalmitis is a clinical diagnosis, which is then confirmed by culture of vitreous or aqueous. The Endophthalmitis Vitrectomy Study (EVS) provided valuable treatment guidelines which are still relevant today. However, visual outcomes are frequently poor, even after prompt and appropriate treatment. Endophthalmitis cannot be completely prevented, but its incidence can be significantly reduced with the use of preoperative povidone-iodine antisepsis and attention to risk factors. Intracameral antibiotics are gaining in popularity, especially in Europe, although their efficacy is controversial.

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Authors and Affiliations

  1. Department of Ophthalmology, University of Miami Miller School of Medicine, Bascom Palmer Eye Institute, Miami, FL, USA

    Kamyar Vaziri MD, Nidhi Relhan MD, Stephen G. Schwartz MD, MBA & Harry W. Flynn Jr. MD

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  1. Kamyar Vaziri MD
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  2. Nidhi Relhan MD
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  3. Stephen G. Schwartz MD, MBA
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  4. Harry W. Flynn Jr. MD
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Editors and Affiliations

  1. Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Marlene L. Durand

  2. Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA

    Joan W. Miller

  3. Massachusetts Eye and Ear, Harvard Medical School, BOSTON, Massachusetts, USA

    Lucy H. Young

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Vaziri, K., Relhan, N., Schwartz, S.G., Flynn, H.W. (2016). Acute-Onset Postoperative Endophthalmitis. In: Durand, M., Miller, J., Young, L. (eds) Endophthalmitis. Springer, Cham. https://doi.org/10.1007/978-3-319-29231-1_5

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