DR. SAKSHI MAKHLOGA

DR. MEHUL SHAH, DR. SHREYA SHAH

Abstract

INTRODUCTION- ENDOPHTHALMITIS IS AN INFLAMMATION OF BOTH ANTERIOR AND POSTERIOR CHAMBER COMPLICATED BY SYSTEMIC INFECTION, INTRAOCULAR SURGERY OR PENETRATING EYE TRAUMA.

CASE PRESENTATION-PRESENTING CASE OF 7 YR OLD FEMALE WITH C/O INJURY BY THORN IN OS 6 DAYS BACK. ON EXAMINATION UNAIDED VISUAL ACUITY WAS NOPL.PATIENT WAS GIVEN INTRAVITREAL VANCOMYCIN AND DEXONA AND STARTED ON TOPICAL & SYSTEMIC ANTIBIOTICS AND SYSTEMIC STEROIDS (TAPERING DOSE). LATER SHE UNDERWENT VITRECTOMY ENDOPHTHALMITIS AND LENSECTOMY. SIGNIFICANT IMPROVEMENT IN VA FROM NOPL TO 6/12 WAS OBSERVED AFTER DILIGENT SURGICAL AND MEDICAL INTERVENTION.

CONCLUSION- ENDOPHTHALMITIS IS AN OPHTHALMIC EMERGENCY. IT CARRIES DEVASTATING OUTCOME IF NOT RECOGNIZED AND TREATED PROMPTLY. PREVENTION, EARLY RECOGNITION, PROMPT MANAGEMENT AND CLOSE MONITORING CAN MINIMIZE SUCH OUTCOME.