Ophthalmology/Eye Institute

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 Department of Ophthalmology Case Studies


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What would be the best treatment for a patient presenting two days after cataract surgery with signs and symptoms of endophthalmitis and vision of 20/80?

A. Close observation. The ocular inflammation may be due to the recent surgery and may resolve on its own.
B. Arrange for the patient to go immediately to the operating room for a pars plana vitrectomy with vitreous cultures and placement of intravitreal broad spectrum antibiotics.
C. Proceed with a “tap and inject” – Take a vitreous and/or aqueous sample for culture and inject intravitreal broad spectrum antibiotics.
D. Give the patient a more broad spectrum antibiotic topical drop to be used every 2 hours and see the patient the next day to see if there is any improvement.

Which of the following is not commonly an exam finding with post-operative endophthalmitis?

A. A hypopyon
B. A hyphema
C. “Cell and Flare” in the anterior chamber of the eye
D. Vitreous Haze or debris
E. Conjunctival injection and hyperemia

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