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THE ROLE OF EARLY VITRECTOMY IN THE TREATMENT OF FUNGAL ENDOGENOUS ENDOPHTHALMITIS.

Faith A. Birnbaum, Gaurav Gupta
Published 2016 · Medicine
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PURPOSE To review the therapeutic role of vitrectomy in fungal endogenous endophthalmitis. METHODS Six cases were identified as fungal endogenous endophthalmitis through positive cultures or clinical presentation. RESULTS All six cases had fungal endogenous endophthalmitis risk factors; average diagnostic delay was 7.5 days; all cases were managed with vitrectomy, intravitreal antifungals, and systemic antifungals within 24 hours of fungal endogenous endophthalmitis diagnosis. Visual acuity of 20/200 or better was achieved by 5 of 6 eyes, with 4 of those eyes achieving 20/40 or better. CONCLUSION An early vitrectomy in high-risk patients may improve visual outcomes and aid in diagnosis.
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