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Updated: Aug 29, 2026

Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
Management of endophthalmitis with retained intraocular foreign body
F A Knox1, R M Best, F Kinsella
1Department of Ophthalmology, Royal Victoria Hospital, Belfast, Northern Ireland, UK. angelaknox@ireland.com
Aims:
To assess the impact of primary injection of intravitreal antibiotics and delayed pars plana vitrectomy with removal of intraocular foreign body (IOFB) in patients with clinical features of bacterial endophthalmitis and retained IOFB.
Methods:
Retrospective review of all patients with clinical features of infective endophthalmitis and a retained IOFB who had immediate injection of intravitreal antibiotics and delayed pars plana vitrectomy with removal of IOFB in two vitreo-retinal centres during 1995-2001. Nine patients were identified and minimum follow-up was 3 months.
Results:
Four of the nine patients had a final visual outcome of 6/18 or better. One patient developed total retinal detachment.
Conclusions:
The current series suggests that immediate injection of intravitreal antibiotics with delayed removal of IOFB in eyes with clinical features of infective endophthalmitis and a retained IOFB is a possible alternative to immediate removal of IOFB. This management may be associated with preservation of the eye and restoration of useful visual acuity.
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