Question
After 48 hours of cataract surgery, a patient presented with ocular pain and visual loss. On examination, the eye looked red with ciliary injection, corneal edema and absent red reflex. The first suspicion must be
| A. |
Secondary Glaucoma
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| B. |
Anterior Uveitis
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| C. |
Bacterial Endophthalmitis
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| D. |
Acute conjunctivitis
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Show Answer
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Correct Answer � C
Explanation
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Answer: C. Bacterial Endophthalmitis
Explanation: Postoperative endophthalmitis is defined as severe inflammation involving both the anterior and posterior segments of the eye following intraocular surgery.
This complication of cataract surgery can occur within the first week; while very rare, it may result in irreversible blindness.
Postoperative endophthalmitis is typically caused by the perioperative introduction of microbial organisms into the eye either from the patient’s normal conjunctival and epidermal flora or from contaminated instruments
Vancomycin is indicated for treatment of serious or severe infections secondary to gram-positive organisms
Subconjunctival injection of antibiotic with dexamethasone is commonly done to treat the condition.
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