[Management of infectious endophthalmitis following phacoemulsification].
OBJECTIVE
To discuss the cause and management of infective endophthalmitis following phacoemulsification.


METHODS
Anterior chamber irrigation with anterior chamber drug injection, postoperative systemic and topical antibiotic therapy as well as the use of topical mydriatic agent were applied to 5 of 3,850 eyes which showed endophthalmitis following phacoemulsification.


RESULTS
All the 5 eyes were saved from infective endophthalmitis. 1 to 5 eyes underwent vitrectomy, 4 of 5 eyes underwent anterior chamber irrigation (wash out). 4 of 5 eyes had satisfactory visual outcome. One of them had poor visual outcome.


CONCLUSIONS
Preoperative contamination of the anterior chamber is the most common source for pathogenic agents responsible for endophthalmitis following phacoemulsification. Prompt anterior chamber irrigation (washout) with anterior chamber drug injection is one of the effective treatment.
Cheng
B
B
Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
Liu
Y
Y
D000368:Aged; D000867:Anterior Chamber / Q000187:drug effects; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D009877:Endophthalmitis / Q000209:etiology* / Q000628:therapy*; D015818:Eye Infections, Bacterial / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009184:Mydriatics / Q000627:therapeutic use; D018918:Phacoemulsification / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000628:therapy; D007507:Therapeutic Irrigation
D000900:Anti-Bacterial Agents; D009184:Mydriatics