Manual

Endophthalmitis

Emergencies

Endophthalmitis

Post-operative or post-injection pain + vision loss.

  • Presents days after surgery/injection: pain, decreased vision, hypopyon, vitritis, lid swelling.
  • EVS: if vision is LP only → immediate vitrectomy; if HM or better → tap & inject was equivalent.
  1. 1Vitreous tap (or vitrectomy) for Gram stain and culture.
  2. 2Intravitreal vancomycin 1 mg/0.1 mL + ceftazidime 2.25 mg/0.1 mL (amikacin 0.4 mg if β-lactam allergy).
  3. 3Topical fortified antibiotics and steroids, cycloplegia; review in 24 h.
NextGiant cell arteritis

Educational summary — follow local protocols and current guidelines.