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[Pneumococcal postoperative endophthalmitis].

A Salvanet-Bouccara, P Dubayle, F Forestier

    Journal Francais D'Ophtalmologie
    |January 1, 1984
    PubMed
    Summary
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    Pneumococcal endophthalmitis requires prompt diagnosis via microscopic identification and intra-vitreal antibiotics. Standard subconjunctival gentamicin may be insufficient, suggesting chloramphenicol co-administration for effective prevention.

    Area of Science:

    • Ophthalmology
    • Infectious Diseases
    • Bacteriology

    Background:

    • Pneumococcal endophthalmitis is a severe intraocular infection.
    • Prompt diagnosis and treatment are crucial for visual outcomes.

    Observation:

    • Three cases of pneumococcal endophthalmitis were analyzed.
    • Cultures confirmed Streptococcus pneumoniae in two cases.

    Findings:

    • The fulminant disease course and poor visual prognosis highlight diagnostic urgency.
    • Microscopic identification and intra-vitreal antibiotic injection, potentially with vitrectomy, are vital.

    Implications:

    • Subconjunctival gentamicin, a common prophylactic, shows limited efficacy against pneumococcus.

    Related Experiment Videos

  • Combining subconjunctival chloramphenicol with gentamicin may improve prevention of pneumococcal endophthalmitis.