Diagnosis, Prevention & Management
Expert discussions on the latest advances and challenges in the diagnosis and management of endophthalmitis — a severe eye infection that requires prompt treatment to prevent irreversible vision loss.
Endophthalmitis is a severe eye infection that can cause blindness if left untreated. It is critical to seek prompt and proper treatment to prevent permanent damage to the eye.
This mRetina Meeting brings together retina specialists to discuss the latest diagnostic and management advances and challenges associated with endophthalmitis. By staying up-to-date on the latest research and developments, specialists can provide the best possible care to patients suffering from this condition.
Four expert presentations covering the full spectrum of endophthalmitis management — from diagnosis to medical and surgical treatment, followed by a panel discussion.
When a patient presents with hypopyon and fibrin, how to consider the possibility of endophthalmitis. Prompt B-scan assessment, vitreous culture, and identification of the causative organism for targeted antibiotic treatment.
Surveillance protocols for air-conditioning and water systems, intracameral moxifloxacin, povidone-iodine irrigation, and pre-surgical prophylaxis guidelines for preventing post-operative endophthalmitis.
Evidence that in post-procedural endophthalmitis, intravitreal antibiotics remain the main line of treatment. Discussion on whether early PPV improves outcomes over antibiotics alone.
Surgical approach: immediately tap and inject antibiotics, plan vitrectomy ASAP, clear the vitreous cavity, use back-flush needle technique, 360° encircling laser, and silicone oil 1000cs endotamponade.
Watch each presentation from the Endophthalmitis Meeting.
Dr. Ameen Marashi
Dr. Jorge Rocha
Dr. Ahmed Sallam
Dr. Khaqan
All Speakers
Key takeaways from each talk in this endophthalmitis meeting:
When a patient presents with hypopyon and fibrin, consider the possibility of endophthalmitis. A prompt B-scan should be performed to assess for increased chorioretinal thickness and vitritis. It is crucial to culture the vitreous to identify the causative organism. Early detection and prompt treatment are key to successful management.
In post-procedural endophthalmitis, the main line of treatment is intravitreal antibiotics. There is no evidence that early pars plana vitrectomy improves the outcome over intravitreal antibiotics alone.
Post-operative endophthalmitis approach: immediately tap and inject antibiotics, plan vitrectomy as soon as possible with no mandatory PVD. Try to clear the vitreous cavity as much as possible. Don't use high vacuum to aspirate debris from the retina — rather use a back-flush needle to churn the debris and aspirate. Always do 360° encircling laser and endotamponade of silicone oil 1000cs (remove after 3 months).
This meeting content is designed for professional education among ophthalmologists. The presentations represent expert opinions and are intended for educational purposes only. All clinical decisions must be made by qualified specialists based on individual patient assessment and established treatment guidelines.
Watch the full meeting and related debates on the mRetina Meeting platform.
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