Published online Jan 6, 2024. doi: 10.12998/wjcc.v12.i1.163
Peer-review started: September 9, 2023
First decision: November 16, 2023
Revised: November 27, 2023
Accepted: December 5, 2023
Article in press: December 5, 2023
Published online: January 6, 2024
Processing time: 114 Days and 22.6 Hours
Endophthalmitis occurring in silicone oil-filled eyes is a very rare occurrence, with reported incidence rates ranging between 0.07% and 0.039%. Traditional methods of management of infectious endophthalmitis include the removal of silicone oil, washout of the vitreous cavity, administration of intravitreal antibiotics, and re-injection of silicone oil.
Herein, we report the case of a 39-year-old man with unilateral endophthalmitis after pars plana vitrectomy and silicone oil tamponade. Intravitreal injections of full-dose antibiotics and anterior chamber washout were used to treat the patient. No signs of retinal toxicity were observed during the follow-up period.
Intravitreal full-dose antibiotic injections and anterior chamber washout are promising alternatives to traditional therapies for endophthalmitis in silicone oil-filled eyes.
Core Tip: Endophthalmitis in silicone oil-filled eyes occurs very rarely. Traditional methods of management of infectious endophthalmitis include removal of the silicone oil, washout of the vitreous cavity, administration of intravitreal antibiotics, and re-injection of silicone oil. Here, we report the case of a 39-year-old man with unilateral endophthalmitis following vitrectomy and silicone oil tamponade surgery. The patient underwent two anterior chamber washouts and received three intravitreal antibiotic injections, resulting in successful control of the endophthalmitis.