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- Title
Commentary: Usage of intravitreal steroids in endophthalmitis: Horns of a dilemma.
- Authors
Sen, Sagnik; Kannan, Naresh; Kannan, Naresh Babu
- Abstract
The usage of steroids intravitreally along with antimicrobials for endophthalmitis management has been marred with controversy for decades. The rationale behind steroids/anti-inflammatory agents is that endophthalmitis leads to severe inflammation and bystander damage to intraocular tissues, especially the neurosensory retina, resulting in irreversible functional changes. However, with complete and early vitrectomy, as is becoming the norm gradually, after the organism load has been reduced, intravitreal steroids may also be considered in the retreatment regimens.[[3]] The biggest gray zone is for cases of fungal endophthalmitis, where no clear evidence is available due to extreme variability in clinical presentations.
- Subjects
DIAGNOSIS of bacterial diseases; ANTIBIOTICS; STEROID drugs; INJECTIONS; NEOVASCULARIZATION inhibitors; RETROSPECTIVE studies; EYE infections; ENDOPHTHALMITIS; BACTERIAL diseases; ANIMALS
- Publication
Indian Journal of Ophthalmology, 2022, Vol 70, Issue 8, p2841
- ISSN
0301-4738
- Publication type
journal article
- DOI
10.4103/ijo.IJO_3161_21