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Management of purulent postoperative endophthalmitis.

In 1985, postoperative purulent endophthalmitis (PPE) was diagnosed in 8 eyes (severe in 5 and presumed in 3 eyes). All were treated with paraocular injections of cefotaxime, gentamicin and triamcinolone with or without the same antibiotics by intraocular and/or systemic route with or without systemic corticosteroids. The suspect causative organisms were Staphylococcus epidermidis in 2 cases, Staphylococcus aureus in 3 cases, streptococcus in 1 case, in 2 cases the cause remained unknown. Pars plana vitrectomy and anterior chamber lavage were performed on 5 eyes, and anterior chamber and vitreous tap on 1 eye. The intraocular lens implants were not removed at vitrectomy. A useful vision ranging from 0.15 to 0.6 was obtained in all cases. Our present regime for the management of purulent postoperative or posttraumatic endophthalmitis is given.