Bacterial endophthalmitis after closed vitrectomy
P. C. Ho and F. I. Tolentino
Four cases of bacterial endophthalmitis occurred after more than 2,800
closed vitrectomies. Despite vigorous antibiotic therapy, all four eyes
were lost. The poor outcome seems to result from difficulties in diagnosing
this condition in its early stages. Important clinical indications, such as
orbital pain, corneal edema and infiltrate, excessive intraocular
inflammatory reaction, hypopyon, and diminished fundus reflex, are often
masked by the usual postoperative course. According to our study, the
incidence of endophthalmitis after closed vitreous surgery is 0.14%. Three
of the four patients with endophthalmitis were diabetic. Our clinical
findings are compared with those in the four other cases reported in the
literature.
