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Endophthalmitis in Silicone Oil-Filled Eyes
Magdalene Yin Lin Ting1, Soyang Ella Kim1, Rodrigo Anguita1,2
1Moorfields Eye Hospital NHS Foundation Trust, City Road, London EC1V 2PD, UK.
Antibiotics (Basel, Switzerland)
|April 28, 2023
Summary
Infectious endophthalmitis in silicone oil-filled eyes is rare, with guarded visual prognoses. Management involves antibiotics, sometimes with silicone oil removal, and further research is needed.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Post pars plana vitrectomy (PPV) endophthalmitis incidence ranges from 0.02% to 0.13%.
- Infectious endophthalmitis in silicone oil-filled eyes is a rarer complication.
Purpose of the Study:
- To review the incidence, risk factors, pathogens, management, and prognosis of infectious endophthalmitis in silicone oil-filled eyes.
- To provide a comprehensive resource for ophthalmologists managing this rare condition.
Main Methods:
- Literature review of studies on infectious endophthalmitis in silicone oil-filled eyes.
- Analysis of incidence, causative pathogens, management strategies, and visual outcomes.
Main Results:
- Commensals are common causative pathogens.
- Traditional management includes silicone oil (SO) removal and intravitreal antibiotics, or direct intravitreal antibiotics into SO-filled eyes.
- Visual prognoses are generally guarded.
Conclusions:
- Limited studies exist due to the condition's rarity, often with small sample sizes or retrospective designs.
- Observational studies and case reports are valuable for understanding rare conditions.
- Further research is needed to improve management and outcomes for infectious endophthalmitis in silicone oil-filled eyes.
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