New concepts in etiology, clinic and management of postoperative endophthalmitis

In the last few years, as a result of the continuing changing of the ethiological, clinical and therapeutical aspects of the postoperative endophthalmitis, there are a lot of efforts to find the adequate means to prevent and to treat this severe complication of cataract surgery. So, the paper presents the most actual therapeutical approaches in the field.

The goals of treatment of postoperative endophthalmitis are: to regain vision and to save the bulb. From the prophylactic techniques, preoperative povidone-iodine antisepsis is the most recommended procedure for decreasing the risk of endophthalmitis related to surgery. The main elements of the modern treatment of endophthalmitis are medical treatment by intravitreal injections or by systemic drugs and surgical treatment with vitrectomy.

Although endophthalmitis remains a potential cause of visual loss, both medical therapies and surgical techniques have evolved so that prognosis is not always as negative as it used to be.