Endophthalmitis is an inflammation caused due to an infection in the interior cavity of the eye. It is a common complication of intraocular surgery (particularly cataract surgery) which causes loss of vision. 1. Suspect Any patient complaining of a post-operative reaction should be suspected as endophthalmitis. 2.
Differentiate from Toxic Anterior Segment Syndrome (TASS) All post-operative reactions may not be due to an infection. Rule out TASS from endophthalmitis by the signs and symptoms. Endophthalmitis may cause: Presence of lid edema Chemosis A marked reduction in vision Vitreous exudates Low intraocular pressure 3. Antibiotic treatment Once confirmed, treat endophthalmitis with intravitreal injections and two antibiotics (one for gram-positive organism & the other for the gram-negative organism). Depending on the organism and severity, the recommended antibiotics are Vancomycin +…
