Dr.CHINMAY NAKHWA, Dr.MOHD. ANASH PATHAN, Dr.Natarajan S
Method: The gentleman underwent an emergency vitrectomy with removal of exudates and injection of silicone oil.
Results: Microbiological tests showed gram negative bacilli which were sensitive to ceftazidime among other drugs.The patient was started on topical antibiotics and steroids. Intracameral antibiotics (ceftazidime 2.5mg) were repeated after 48 hours and subsequently as dictated by his clinical response. The anterior segment exudates cleared and the corneal clarity improved in 5 days. There was a dense exudative patch in the macular area which gradually contracted and reduced in size.The patient regained a vision of 3 meters , without a recurrence of infection on last followup which was six months from the day of surgery.
Conclusion: Timely surgical intervention can prevent sight threatening complications like hypotony, pthisis bulbi,retinal detachment etc.
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