13.5.1
Endogenous Bacterial Endophthalmitis
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 13, Ophthalmic Conditions.
Clinical Description
- Originates from sources within the body
Signs and Symptoms
- Decreased vision, pain and tearing, purulent discharge
- Conjunctiva injection, hypopyon, corneal oedema, vitritis, reduced fundus view secondary to vitreous inflammation.
Investigations
- Vitreous tap (microscopy, culture, and sensitivity)
Treatment
- The choice of agents is dependent on culture and sensitivity results
- Empirically treat endophthalmitis with systemic antibiotics with Ceftazidime 1g 12 hourly and Vancomycin 1g every 12hrs for 2-3 weeks
- Isolated endophthalmitis is treated with oral Ciprofloxacin 750mg 12 hourly for 7- 14 days and intravitreal antibiotics as in postoperative endophthalmitis below.
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
Need this without data?
The app holds every guideline on your device, with calculators, bookmarks and notes.