Endophthalmitis

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Endogenous endophthalmitis is that due to endogenous spread (e.g. haematological)

Exogenous endophthalmitis is secondary to eye surgery or penetrating eye injury.

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Most commonly caused by streptococcus pneumoniae.^1,2

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Intravitreal injection is the mainstay of therapy

• IV Ceftazidime

• IV Vancomycin

+/- Oral therapy

• PO Ciprofloxacin

References

1.

Results of the Endophthalmitis Vitrectomy Study. A randomized trial of immediate vitrectomy and of intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Endophthalmitis Vitrectomy Study Group. Archives of Ophthalmology (Chicago, Ill: 1960). 1995;113(12):1479-1496.

2.

Endophthalmitis. Therapeutic Guidelines.