Related Experiment Videos
[Management of infectious endophthalmitis following phacoemulsification]
1Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
Purpose:
To discuss the cause and management of infective endophthalmitis following phacoemulsification.
Methods:
Anterior chamber irrigation with anterior chamber drug injection, postoperative systemic and topical antibiotic therapy as well as the use of topical mydriatic agent were applied to 5 of 3,850 eyes which showed endophthalmitis following phacoemulsification.
Result:
All the 5 eyes were saved from infective endophthalmitis. 1 to 5 eyes underwent vitrectomy, 4 of 5 eyes underwent anterior chamber irrigation (wash out). 4 of 5 eyes had satisfactory visual outcome. One of them had poor visual outcome.
Conclusion:
Preoperative contamination of the anterior chamber is the most common source for pathogenic agents responsible for endophthalmitis following phacoemulsification. Prompt anterior chamber irrigation (washout) with anterior chamber drug injection is one of the effective treatment.