Vision loss after anti-VEGF likely to be endophthalmitis

A review of the published case series of endophthalmitis following intravitreal injection indicates that those presenting with visual acuity 20/200 or less more than 24 hours after the injection were very likely to have endophthalmitis, while those presenting with a similar loss of vision during the first 24 hours were more likely to be due to different causes. The study's investigators used a Pubmed search of the literature and retrieved 12 case series, which together with their own case series included a total of 133 patients. The researchers found that the records showed that among those cases where antibiotics were deemed unnecessary the mean time to presentation was one day, but in those who received antibiotics the mean time to presentation was three days, whether or not their biopsy was positive for bacterial pathogens.
• (Hoevenaars et al, Ophthalmologica 2012, DOI: 10.1159/000339584.)Â
Latest Articles
Beyond the Numbers
Empowering patient participation fosters continuous innovation in cataract surgery.
Thinking Beyond the Surgery Room
Practice management workshop focuses on financial operations and AI business applications.
Aid Cuts Threaten Global Eye Care Progress
USAID closure leads retreat in development assistance.
Supplement: ESCRS Clinical Trends Series: Presbyopia
Nutrition and the Eye: A Recipe for Success
A look at the evidence for tasty ways of lowering risks and improving ocular health.
New Award to Encourage Research into Sustainable Practices
Sharing a Vision for the Future
ESCRS leaders update Trieste conference on ESCRS initiatives.
Extending Depth of Satisfaction
The ESCRS Eye Journal Club discuss a new study reviewing the causes and management of dissatisfaction after implantation of an EDOF IOL.
Conventional Versus Laser-Assisted Cataract Surgery
Evidence favours conventional technique in most cases.
AI Scribing and Telephone Management
Automating note-taking and call centres could boost practice efficiency.