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Article
May 1974

Bacterial Endophthalmitis: Treatment 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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