3 Cases of Endophthalmitis

ABSTRACT

The authors reported 3 cases of en dophthalmitis developed by different causes. Case 1, 73 years old woman was taken fungal infection (candida species) 2 days later following catract operation. Irrigation of gentamicin and insertion of a drop of 20 X diluted 1% gentian violet solution into anterior chamber 2 times was obtained satisfactory result. The final visual acuity was 0.1 X +11.0 Sph. 3 months later. Case 2, 38 years old man was developed endophthalmitis of unknown causes 3 months later fonowing by cataract operation. Visual acuity was 1.0 X contact lens 1-2 months postopertive period. But finally resulted in phthisis bulbi inspite of massive administration of antibiotics and steroid. Case 3, 72 years old woman, was metastatic endophthalmitis developed during the course of typhoid fever. In spite of topical and systemic management the diseased eye was brought about enucleation. By trypsin digestion technique of the enucleated eye retinal vascular patterns showed diffuse acellularity in the capillaries, arterioles and venules and many perivascular fibrils stained in PAS positive were interconnected with internal limiting membrane.