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Management of Endophthalmitis in the Post–Endophthalmitis Vitrectomy Study Era

Management of Endophthalmitis in the Post–Endophthalmitis Vitrectomy Study Era EDITORIAL Management of Endophthalmitis in the Post–Endophthalmitis Vitrectomy Study Era N 1995, the Endophthalmitis Vitrectomy Study ocular infection with vitreous involvement to bleb- (EVS) Group published the results of a mul- associated endophthalmitis. ticenter randomized clinical trial evaluating When endophthalmitis appears early on, the spec- the roles of pars plana vitrectomy and sys- trum of organisms is similar to that seen in postcataract I temic antibiotics in the management of post- surgery: predominantly Staphylococcus epidermidis. A cataract extraction endophthalmitis. The article dem- similar spectrum is seen with blebitis, explaining why this onstrated that immediate vitrectomy was not necessary condition usually responds well to topical and systemic in patients with visual acuity better than light percep- antibiotic therapy. In the absence of definitive ocular in- tion at the time of presentation, but that it was of sig- volvement, neither vitreous cultures, intravitreal antibi- nificant benefit for those with light perception only. In otics, nor vitrectomy are necessary for blebitis. The vi- addition, the use of systemic antibiotics did not sual prognosis is generally quite good. However, most enhance final visual acuity or media clarity. As a result, cases of bleb-associated infections are delayed in onset, the EVS has had a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Management of Endophthalmitis in the Post–Endophthalmitis Vitrectomy Study Era

JAMA Ophthalmology , Volume 119 (5) – May 1, 2001

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References (15)

Publisher
American Medical Association
Copyright
Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/archopht.119.5.754
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL Management of Endophthalmitis in the Post–Endophthalmitis Vitrectomy Study Era N 1995, the Endophthalmitis Vitrectomy Study ocular infection with vitreous involvement to bleb- (EVS) Group published the results of a mul- associated endophthalmitis. ticenter randomized clinical trial evaluating When endophthalmitis appears early on, the spec- the roles of pars plana vitrectomy and sys- trum of organisms is similar to that seen in postcataract I temic antibiotics in the management of post- surgery: predominantly Staphylococcus epidermidis. A cataract extraction endophthalmitis. The article dem- similar spectrum is seen with blebitis, explaining why this onstrated that immediate vitrectomy was not necessary condition usually responds well to topical and systemic in patients with visual acuity better than light percep- antibiotic therapy. In the absence of definitive ocular in- tion at the time of presentation, but that it was of sig- volvement, neither vitreous cultures, intravitreal antibi- nificant benefit for those with light perception only. In otics, nor vitrectomy are necessary for blebitis. The vi- addition, the use of systemic antibiotics did not sual prognosis is generally quite good. However, most enhance final visual acuity or media clarity. As a result, cases of bleb-associated infections are delayed in onset, the EVS has had a

Journal

JAMA OphthalmologyAmerican Medical Association

Published: May 1, 2001

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