Management of purulent postoperative endophthalmitis.
In 1985, postoperative purulent endophthalmitis (PPE) was diagnosed in 8 eyes (severe in 5 and presumed in 3 eyes). All were treated with paraocular injections of cefotaxime, gentamicin and triamcinolone with or without the same antibiotics by intraocular and/or systemic route with or without systemic corticosteroids. The suspect causative organisms were Staphylococcus epidermidis in 2 cases, Staphylococcus aureus in 3 cases, streptococcus in 1 case, in 2 cases the cause remained unknown. Pars plana vitrectomy and anterior chamber lavage were performed on 5 eyes, and anterior chamber and vitreous tap on 1 eye. The intraocular lens implants were not removed at vitrectomy. A useful vision ranging from 0.15 to 0.6 was obtained in all cases. Our present regime for the management of purulent postoperative or posttraumatic endophthalmitis is given.
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002387:Cataract Extraction; D004359:Drug Therapy, Combination; D009877:Endophthalmitis / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions; D013203:Staphylococcal Infections / Q000188:drug therapy; D013530:Surgical Wound Infection / Q000188:drug therapy*
D000900:Anti-Bacterial Agents; D009883:Ophthalmic Solutions