Describe the treatment.
Intravitreal drug administration
Bacterial endophthalmitis: empirical intravitreal antibiotic administration in all cases (vancomycin and ceftazidime/amikacin)
Mold endophthalmitis or sight-threatening candida endophthalmitis: intravitreal antifungal administration (amphotericin B or voriconazole)
Systemic antifungal administration (IV fluconazole or voriconazole): early disease due to Candida, all patients with endogenous fungal endophthalmitis
Pars plana vitrectomy: in patients with sight-threatening endophthalmitis
Sterile endophthalmitis
Mild/early disease: topical steroids
Severe inflammation: treat as bacterial endophthalmitis
Early initiation of treatment (within hours) is critical to preserve eyesight.
List complications.
Panophthalmitis
Corneal perforation
Phthisis bulbi
Glaucoma
Permanent loss of vision
Zuletzt geändertvor 2 Jahren