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31. Internationaler Kongress der Deutschen Ophthalmochirurgen (DOC)

14.06. - 16.06.2018, Nürnberg

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Postoperative endophthalmitis treatment and management

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  • Kusai Almozawak - OSG MVZ Nürnberg, Nürnberg

31. Internationaler Kongress der Deutschen Ophthalmochirurgen. Nürnberg, 14.-16.06.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. DocWK 1.13

doi: 10.3205/18doc053, urn:nbn:de:0183-18doc0532

Published: June 13, 2018

© 2018 Almozawak.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Endophthalmitis is a serious complication of cataract surgery and many other ocular surgeries that every ophthalmic surgeon – and patient – strives to avoid.

Use of intracameral cefuroxime at the end of surgery reduced the occurrence of postoperative endophthalmitis. Additional risk factors associated with endophthalmitis after cataract surgery included CCIs and the use of silicone IOLs.

The diagnosis of postoperative endophthalmitis is considered a medical emergency requiring investigation and treatment within an hour of presentation, especially in severe cases.

The EVS recommended performing a vitrectomy onlyin cases presenting with visual acuity of light perception (LP) only. However, with technical advances in vitrectomy,more recent retrospective series have shown better visual outcomes with broader use of a full vitrectomy in postoperative endophthalmitis cases, including those presenting with better than LP visual acuity.