Ultrasound Biomicroscopy in Chronic Postoperative Endophthalmitis

Abstract

Abstract: : Purpose: To evaluate the anatomic characteristics of chronic postoperative endophthalmitis by ultrasound biomicroscopy (UBM). Methods: Five eyes of 5 patients with a diagnosis of culture positive chronic bacterial endophthalmitis that underwent UBM imaging from January 1999 to July 2001 were identified and enrolled. Results: UBM identified characteristic plaque formation and inflammatory debris in all patients. All patients were successfully treated with PPV, partial/total capsulectomy and intravitreal injection of antibiotic (see table). Conclusion: Inflammatory plaque formation found during UBM is an important marker for suspected chronic endophthalmitis. UBM can be useful in the diagnosis and management of this disorder when hazy media prevent inadequate visualization of intraocular structures. Table  

Keywords: 430 imaging/image analysis: clinical • 398 endophthalmitis • 628 vitreoretinal surgery