Endophthalmitis

Endophthalmitis is a severe intraocular infection characterized by purulent inflammation and tissue destruction caused by infecting organisms’ toxins as well as tissue inflammation. This chapter provides a comprehensive overview of endophthalmitis, covering its definition, classification, etiology, incidence, clinical diagnosis, management philosophy, treatment options, surgical techniques, and key points. The importance of timely intervention, both medical and surgical, is emphasized, with a focus on complete and early vitrectomy (CEVE) as an effective approach. The chapter underscores the significance of individualized decision-making and the need to consider the clinical condition’s fundamentals over presenting visual acuity. Medical and surgical treatment options are discussed, highlighting the benefits of surgical intervention, including specimen collection, media clarity restoration, and removal of toxic substances. Overall, the chapter offers insights into managing this emergency condition to achieve the best possible outcomes.