Endophthalmitis is a serious complication that can occur after any intraocular intervention. It usually presents 12 to 84 hours post procedure depending on the virulence of the organism. It is essential that it is managed promptly and aggressively as this can determine the final outcome.
|History of intraocular surgery, including intravitreal drug injection, within last 6 weeks
• Patient history
• Assess and document positive and negative signs in notes
|Investigations (Should NOT delay prompt treatment):
Vitreal biopsy – needle biopsy or vitreous cutter (see below)
Blood tests: FBC, U&Es, LFT, glucose, CRP; Blood cultures IF PYREXIAL
Intravitreal antibiotics should be administered as soon as possible. Ideally, this should be performed at the hospital to which the patient presents. If for any reason this is not possible, or if there is any unacceptable delay (more than 1 hour) then the most senior clinician on site must decide whether transfer to Gartnavel is more appropriate to administer treatment and is in the patient’s best interest. They must liaise with the team at Gartnavel if this is the case.If waiting to take to theatre results in a significant delay, intravitreal antibiotics can be administered in the ward or clinic.