Free previewYou're reading the free part of this topic. The rest is included with Clinical.See what's included
Endophthalmitis
Uvea
Key Points
- •Endophthalmitis is an ophthalmic emergency - the EVS trial is the landmark study guiding management of post-cataract endophthalmitis
- •EVS key finding: if presenting VA is LP only, immediate PPV gives 3x better visual outcomes vs tap alone; if VA is HM or better, tap + inject is equivalent to PPV
- •IV antibiotics provided NO benefit in the EVS - systemic antibiotics are NOT indicated for post-cataract endophthalmitis (but ARE indicated for endogenous and post-traumatic cases)
- •Intravitreal vancomycin (1 mg) + ceftazidime (2.25 mg) is the standard antibiotic combination
- •Povidone-iodine 5% pre-operatively and intracameral cefuroxime at surgery end are the most effective preventive measures (ESCRS study)
Free preview ends here
Keep reading Endophthalmitis
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations