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Management of postoperative endophthalmitis
Author(s) -
BRON A
Publication year - 2012
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2012.3414.x
Subject(s) - endophthalmitis , medicine , vitrectomy , presentation (obstetrics) , ophthalmology , surgery , visual acuity
Postoperative endophthalmitis remains a devastating condition both for the patient and the surgeon. Even with careful prophylaxis such an ocular infection may occur. The EVS (Endophthalmitis Vitrectomy Study) has shed light and provided robust guidelines for the management of acute postcataract endophthalmitis. However since the publication of the EVS in 1995 we may wonder whether the findings of this major trial are still valid in 2012. Vitrectomy techniques have improved, the choice of the systemic antibiotics used in the EVS was not optimal and the widespread use of local antibioprophylaxis may have changed the presentation and prognosis of postoperative endophthalmitis. Others questions are not fully answered; what about the use of intravitreal corticosteroids, how do the EVS data apply to other endophthalmitis presentations (traumatic, glaucoma or chronic endophthalmitis?). In this presentation we will give some very practical and useful clinical tips for postoperative endophthalmitis management, mainly based on the FRIENDS group (FRench Institutional ENDophthalmitis Study) which has gathered about 100 cases of endophthalmitis.