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Article
May 1974

Bacterial EndophthalmitisTreatment With Intraocular Injection of Gentamicin and Dexamethasone

Author Affiliations

Chicago
From the Department of Ophthalmology, University of Illinois Eye and Ear Infirmary, Chicago.

Arch Ophthalmol. 1974;91(5):416-418. doi:10.1001/archopht.1974.03900060428017
Abstract

Bacterial endophthalmitis was diagnosed clinically in a patient who developed ocular inflammation three days after uneventful intracapsular cataract extraction. Aqueous humor aspirations revealed Gram-negative rods. Culture of the aqueous humor showed the organism to be Proteus morgagnii. Because of rapid progression of endophthalmitis, a solution containing 0.4 mg of gentamicin sulfate and 0.4 mg of dexamethasone was injected into the vitreous and anterior chamber. Subsequently, there was a substantial improvement in the clinical course. The vision improved from light perception to 5/200 with corrective lenses. The electroretinogram was normal.

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