Vitrectomy in the Management of Infectious Endophthalmitis
Infectious endophthalmitis remains a devastating ocular complication, often resulting in complete loss of vision. The use of topical, periocular, and systemic antibiotics is well established in the treatment of endophthalmitis (1–3) and intraocular antibiotics have also been commonly used in recent years (4–6). Vitrectomy has been employed in selected cases, both to obtain a vitreous specimen and to remove infectious material from the vitreous cavity (7–12). The use of vitrectomy instruments in this disease has remained controversial and is not indicated in all cases. This review will summarize the clinical features of endophthalmitis, the decision making process regarding treatment approaches, preparation for and technique of vitreous surgery, culture techniques, recommended antibiotics, and overall visual results in endophthalmitis.
KeywordsRetinal Detachment Intraocular Lens Vitreous Cavity Final Visual Acuity Vitreous Surgery
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