Management of postoperative endophthalmitis: intravitreal antibiotics versus vitrectomy plus intravitreal antibiotics

ABSTRACT

This study comprises 20 cases of postoperative endophthalmitis following cataract surgery. Twelve patients were male and 8 female. Age of the cases varied from 40 to 82 years with a mean age of 54 years. Patients were distributed into two equal groups. Group I/[n=10] were given intravitreal antibiotics whereas group II underwent vitrectomy and intravitreal antibiotics at the time of surgery. Both the groups had postoperative supplement of topical fortified antibiotics as well as systemic I/V ceftazidine 1 gm bd from 7 to 12 days. In group I, seven out of 10 patients responded clinically and the visual recovery was from 3/60 to 6/24. Two patients had improvement of 1/60 while one patient did not improve from vision of HM. In group II, seven out of 10 patients showed visual recovery between 3/60-6/18. Two patients showed no improvement clinically, one patient had CRVO, while the other went into phthisis