eye disorders
Endophthalmitis
Treatment of Endophthalmitis
Intravitreal antibiotics For endogenous endophthalmitis, intravitreal and IV antimicrobials In severe cases, possible vitrectomy and intraocular corticosteroids Initial treatment includes broad-spectrum intravitreal antibiotics, most commonlyvancomycinandceftazidime. Patients with endogenous endophthalmitis should receive both intravitreal and IV antimicrobials. Therapy is modified based on culture and sensitivity results. Vision prognosis is often poor, even with early and appropriate treatment. Patients whose vision at presentation is count-fingers or worse should be considered for vitrectomy and use of intraocular and possibly systemic corticosteroids. Corticosteroids are, however, contraindicated in fungal endophthalmitis. 