Intravitreal antibiotic injection and vitrectomy in acute bacterial endophthalmitis.
Two days after an unplanned extra-capsular cataract extraction with sector iridectomy, a patient showed typical signs of bacterial endophthalmitis. Vitreous and aqueous were aspirated for culture, and gentamicin and dexamethasone were injected. Twenty-four hours later, after isolation of Staphylococcus epidermidis, a vitrectomy to remove the central vitreous was done. Postoperatively, vision progressively improved; at the last review nine months after vitrectomy, visual acuity was 20/50.
D000867:Anterior Chamber; D003131:Combined Modality Therapy; D003907:Dexamethasone / Q000008:administration & dosage*; D004338:Drug Combinations; D009877:Endophthalmitis / Q000628:therapy*; D005839:Gentamicins / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D013203:Staphylococcal Infections / Q000628:therapy; D014821:Vitrectomy; D014822:Vitreous Body
D004338:Drug Combinations; D005839:Gentamicins; D003907:Dexamethasone