Management of endophthalmitis in a silicone oil-filled eye

Retina. 1997;17(6):507-9. doi: 10.1097/00006982-199706000-00004.

Abstract

Purpose: To describe the management of endophthalmitis in an eye filled with silicone oil for prolonged internal retinal tamponade.

Methods: A patient with a silicone oil-filled eye developed endophthalmitis postoperatively. Results of clinical examination, diagnostic procedures, and surgical management are described.

Results: Removal of the silicone oil, injection of antibiotics into the fluid-filled vitreous cavity, and reinjection of silicone oil resulted in resolution of the endophthalmitis and improvement in vision.

Conclusions: Aggressive management of endophthalmitis in an eye requiring silicone oil tamponade may salvage useful vision.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Cefazolin / therapeutic use
  • Cephalosporins / therapeutic use
  • Endophthalmitis / drug therapy*
  • Endophthalmitis / microbiology
  • Eye Infections, Bacterial / drug therapy*
  • Eye Infections, Bacterial / etiology
  • Humans
  • Laser Coagulation
  • Male
  • Middle Aged
  • Postoperative Complications / drug therapy*
  • Postoperative Complications / microbiology
  • Retinal Detachment / therapy*
  • Silicone Oils*
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / etiology
  • Vancomycin / therapeutic use
  • Vitrectomy

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • Silicone Oils
  • Vancomycin
  • Cefazolin