Management of endophthalmitis in a silicone oil-filled eye.
OBJECTIVE
To describe the management of endophthalmitis in an eye filled with silicone oil for prolonged internal retinal tamponade.


METHODS
A patient with a silicone oil-filled eye developed endophthalmitis postoperatively. Results of clinical examination, diagnostic procedures, and surgical management are described.


RESULTS
Removal of the silicone oil, injection of antibiotics into the fluid-filled vitreous cavity, and reinjection of silicone oil resulted in resolution of the endophthalmitis and improvement in vision.


CONCLUSIONS
Aggressive management of endophthalmitis in an eye requiring silicone oil tamponade may salvage useful vision.
Zimmer-Galler
I E
IE
Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Santos
A
A
Haller
J A
JA
Campochiaro
P A
PA
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002437:Cefazolin / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D009877:Endophthalmitis / Q000188:drug therapy* / Q000382:microbiology; D015818:Eye Infections, Bacterial / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy* / Q000382:microbiology; D012163:Retinal Detachment / Q000628:therapy*; D012827:Silicone Oils; D013203:Staphylococcal Infections / Q000188:drug therapy* / Q000209:etiology; D014640:Vancomycin / Q000627:therapeutic use; D014821:Vitrectomy
D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D012827:Silicone Oils; D014640:Vancomycin; D002437:Cefazolin