Article Sidebar
Article Details
Issue
Section
Articles
The entire contents of the Nigerian Journal of Ophthalmology are protected under Indian and international copyrights. The Journal, however, grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship and ownership of the rights. The journal also grants the right to make small numbers of printed copies for their personal non-commercial use under Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported License.
Main Article Content
A Critical Analysis Of The Management Of Acute Postcataract Surgery Endophthalmitis In The Gambia
Abstract
Objectives: To report the pattern of presentation and the outcome of management of postcataract surgery endophthalmitis at the Royal Victoria Hospital (RVH), Banjul, The Gambia, and to critically analyse the methods employed.
Methods: The records of four consecutive cases of acute endophthalmitis following cataract surgery, seen over a one-year period (October 2000 to September 2001) at the eye unit of RVH, Banjul, were analysed.
Results: Early diagnosis of endophthalmitis, based on clinical signs only, was made within the first 14 post-operative days in all 4 patients (3 females and l male aged between 50 and 60 years.)
Prompt treatment with a variety of broad spectrum systemic, topical and subconjunctival antibiotics was administered to each patient. Despite this treatment, vision was eventually lost in all the eyes.
Conclusion: Because of the poor outcome of the treatment of these patients, one may conclude that the current management of acute postcataract surgery endophthalmitis in the Gambia does not seem to be effective.
A new evidence-based management protocol is proposed using the results of the Endophthalmitis Vitrectomy Study (EVS) as a guide.
Nigerian Jnl Ophthalmology Vol.11(2) 2003: 80-85
Methods: The records of four consecutive cases of acute endophthalmitis following cataract surgery, seen over a one-year period (October 2000 to September 2001) at the eye unit of RVH, Banjul, were analysed.
Results: Early diagnosis of endophthalmitis, based on clinical signs only, was made within the first 14 post-operative days in all 4 patients (3 females and l male aged between 50 and 60 years.)
Prompt treatment with a variety of broad spectrum systemic, topical and subconjunctival antibiotics was administered to each patient. Despite this treatment, vision was eventually lost in all the eyes.
Conclusion: Because of the poor outcome of the treatment of these patients, one may conclude that the current management of acute postcataract surgery endophthalmitis in the Gambia does not seem to be effective.
A new evidence-based management protocol is proposed using the results of the Endophthalmitis Vitrectomy Study (EVS) as a guide.
Nigerian Jnl Ophthalmology Vol.11(2) 2003: 80-85
