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Treatment With Intraocular Injection of Gentamicin and Dexamethasone

Gholam A. Peyman, MD; Robert Herbst, MD

Arch Ophthalmol. 1974;91(5):416-418.

Abstract
Bacterial endophthalmitis was diagnosed clinically in a patient who developed ocular inflammation three days after uneventful intracapsular cataract extraction. Aqueous humor aspirations revealed Gram-negative rods. Culture of the aqueous humor showed the organism to be Proteus morgagnii. Because of rapid progression of endophthalmitis, a solution containing 0.4 mg of gentamicin sulfate and 0.4 mg of dexamethasone was injected into the vitreous and anterior chamber. Subsequently, there was a substantial improvement in the clinical course. The vision improved from light perception to 5/200 with corrective lenses. The electroretinogram was normal.

Author Affiliations
Chicago

From the Department of Ophthalmology, University of Illinois Eye and Ear Infirmary, Chicago.

Footnotes
Submitted for publication Jan 31, 1973.

Reprint requests to Department of Ophthalmology, University of Illinois Eye and Ear Infirmary, 1855 W Taylor St, Chicago 60612 (Dr. Peyman).

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