THE ROLE OF EARLY VITRECTOMY IN THE TREATMENT OF FUNGAL ENDOGENOUS ENDOPHTHALMITIS.
OBJECTIVE
To review the therapeutic role of vitrectomy in fungal endogenous endophthalmitis.


METHODS
Six cases were identified as fungal endogenous endophthalmitis through positive cultures or clinical presentation.


RESULTS
All six cases had fungal endogenous endophthalmitis risk factors; average diagnostic delay was 7.5 days; all cases were managed with vitrectomy, intravitreal antifungals, and systemic antifungals within 24 hours of fungal endogenous endophthalmitis diagnosis. Visual acuity of 20/200 or better was achieved by 5 of 6 eyes, with 4 of those eyes achieving 20/40 or better.


CONCLUSIONS
An early vitrectomy in high-risk patients may improve visual outcomes and aid in diagnosis.
Division of Ophthalmology, The Warren Alpert Medical School, Brown University, Providence, Rhode Island.
Faith A
FA
Birnbaum
Gaurav
G
Gupta
D000328:Adult; D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D042241:Early Diagnosis; D009877:Endophthalmitis / Q000382:microbiology / Q000628:therapy*; D015821:Eye Infections, Fungal / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods*; D055815:Young Adult
D000935:Antifungal Agents