Surgery For Endophthalmitis
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Surgery for Endophthalmitis in Jaipur at Pink City Eye and Retina Center
An eye infection can be painful and dangerous; left untreated, it may cause permanent vision loss. Endophthalmitis is one of the most severe types, affecting the inner eye layers.
At Pink City Eye and Retina Center, Jaipur, we provide advanced and emergency care for endophthalmitis, including specialized surgical intervention. When medications alone are not enough, surgery becomes essential to save the eye and preserve vision.
Here’s a clear breakdown of the surgical steps so you understand the procedure fully.
What is Endophthalmitis?
Endophthalmitis is a serious inflammation inside the eye, typically caused by bacterial or fungal invasion. It can occur:
- After eye surgery (especially cataract or retinal surgery)
- Due to an eye injury (traumatic endophthalmitis)
- As a result of infection spreading from the bloodstream (endogenous endophthalmitis)
It’s a medical emergency. If left untreated, endophthalmitis can lead to irreversible retinal damage, permanent blindness, or even the loss of the eye.
When is Surgery Required for Endophthalmitis?
At Pink City Eye and Retina Center in Jaipur, we evaluate each case individually. Surgery is often recommended when:
- There’s severe vision loss, such as only light perception
- The infection does not respond to initial intravitreal injections
- There’s a virulent infection, such as those caused by Bacillus species
- The infection causes complications like retinal detachment, which must be surgically repaired
- There’s dense vitreous opacity, making medical treatment less effective without surgical removal
In all of these cases, early surgical intervention is critical to preserve vision and eye structure.
Endophthalmitis Surgery in Jaipur (Pars Plana Vitrectomy)
1. Emergency Evaluation & Initial Treatment
Conduct eye exam, ultrasound if fundus is obscured, and culture samples taken from vitreous/aqueous
Begin intravitreal injections of broad-spectrum antibiotics (e.g. vancomycin + ceftazidime), or antifungals as indicated
Systemic antibiotics if endogenous (fungal or bacterial) infection is suspected
2. Anaesthesia & Surgical Prep
These surgeries are mostly done under local anesthesia and sedation, but general anesthesia can be used when appropriate.
The eye is surgically draped and prepped in a sterile environment
3. Vitrectomy Procedure
➤ Trocar Insertion / Scleral Ports: Small surgical ports are inserted into the sclera via fine tubes called trocars to allow access for delicate instruments.
➤ Removal of Vitreous Gel: The infected and inflamed vitreous gel is carefully removed to eliminate the bulk of infection-causing material.
➤ Intravitreal Antibiotic/Antifungal Injection: Targeted medication is injected directly inside the eye, ensuring maximum concentration at the site of infection.
➤ Anterior Chamber Washout (If Required): In cases with severe inflammation in the front part of the eye, we flush out the anterior chamber to remove pus or debris, helping clear the visual axis and improve drug penetration.
➤ Internal Cleaning and Retinal Inspection: The surgeon closely examines the retina and optic nerve, checking for any signs of detachment, necrosis, or damage that may require additional treatment.
➤ Closure: These entry points often seal themselves, occasionally, stitches are needed. The eye is then patched, and post-op medications are started immediately.
Post-Surgery Care and Recovery
After surgery for endophthalmitis, close monitoring is crucial.
What to Expect:
- Mild pain, irritation, or redness (manageable with drops and medications)
- Blurred vision in the early recovery period and will require follow-up appointments.
Post-Operative Care Includes:
- Antibiotic and anti-inflammatory eye drops are provided.
- Oral or IV antibiotics, especially in endogenous cases
- Frequent eye exams to detect signs of recovery or complications
- Positioning guidance if any additional procedures like retinal repair were performed
Recovery Timeline:
Vision recovery depends on:
- How early the treatment was started
- The type and severity of infection
- The condition of the retina after the infection clears
In many cases, functional vision can be preserved, especially with early intervention. Delaying treatment increases the risk of lasting eye damage.
Risks & Complications
While surgery can be sight-saving, it’s not without potential risks:
- Retinal detachment (approx. 24%)
- Suprachoroidal hemorrhage, hypotony, enucleation in rare severe cases
- Other risks: intraocular infection progression, elevated eye pressure, cataract formation
- Discussion and consent include explanation of these risks and strategies to minimize them
Why Choose Pink City Eye and Retina Center for Surgery for Endophthalmitis in Jaipur?
- Emergency response team ready for same-day evaluation and intervention
- Modern vitreoretinal surgical suite equipped with small-gauge MIVS (23/25 g) and wide-field viewing tools
- Personalized care tailored to severity and patient condition
- Proven approach favoring early vitrectomy plus antibiotic therapy, in line with international guidelines
- Compassionate communication and transparent treatment planning for patients and families
Frequently Asked Questions (FAQs)
The primary surgical procedure for endophthalmitis is called Pars Plana Vitrectomy, where the infected vitreous gel is removed and replaced with a sterile solution to clear the infection.
Endophthalmitis is an emergency. Same-day evaluation and early surgery—often within 24–48 hours—is ideal for the best visual outcomes.
Mild cases can sometimes be managed with intravitreal antibiotic injections, but severe infections often require surgery to fully remove the infection and preserve vision.
No, the procedure is typically done under local or general anesthesia, ensuring the patient feels no pain during surgery. Mild discomfort during recovery is possible but can be controlled with medication.
Vitrectomy surgery usually takes between 30 minutes to 1.5 hours, depending on the severity of the infection and any complications like retinal detachment.
Full recovery might require several weeks to a few months. Most patients experience gradual improvement in vision over time, especially if treatment is started early.
Recurrence is rare if the infection is completely cleared. Consistent follow-up appointments are vital for spotting early warning signs and avoiding repeat infections.
If you need surgery for endophthalmitis in Jaipur, Dr. Abhishek Kothari at Pink City Eye & Retina Center is a leading expert. He manages serious ocular infections promptly with vitrectomy and intraocular antibiotic therapy to save vision.
Costs are based on the severity of the infection, number of surgical interventions, and hospitalization or injection requirements. We maintain clear and reasonable pricing at our Jaipur clinic to make urgent care accessible.
You can book an appointment for Surgery for Endophthalmitis in Jaipur by calling our clinic at 0141‑4901083, emailing [email protected], or visiting Pink City Eye & Retina Center directly. Appointment hours are Monday through Saturday from 10:00 AM to 7:00 PM, and Sunday from 10:00 AM to 1:00 PM. It is important to consult urgently with Dr. Abhishek Kothari, our retinal expert, to manage this vision-threatening condition promptly.
Pink City Eye & Retina Center, Jaipur, is equipped to handle endophthalmitis cases with urgency and skill. Under Dr. Kothari’s expert leadership, we offer rapid surgical response and effective infection control for optimal vision preservation.
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