Endophthalmitis After Cataract Surgery: Risks and Preventive Measures

Submitted by Michael J. Elman, M.D. on December 25, 2024
Endophthalmitis After Cataract Surgery in Rosedale, Glen Burnie, Pikesville & Catonsville, MD

Cataract surgery is a common and safe procedure that involves the removal of the eye’s lens affected by cataracts. This natural lens is then replaced with an artificial lens to restore vision. However, like all surgeries, cataract surgery carries some risks, one of which is endophthalmitis, a serious eye infection that can lead to significant vision loss or even blindness if not promptly and effectively treated. At Elman Retina, we help patients near Baltimore with endophthalmitis protect their vision with superior care.

What Is Endophthalmitis?

Endophthalmitis is an inflammation of the interior of the eye caused typically by infection with bacteria or fungi. This condition can occur when microorganisms enter the eye during or after surgery. The symptoms of endophthalmitis usually develop rapidly and can include severe pain, redness in the eye, blurred or decreased vision, and sensitivity to light.

Risk Factors for Endophthalmitis

The risk of developing endophthalmitis after cataract surgery is low, but certain factors can increase this risk:

  • Breach in Surgical Technique: The most common cause of endophthalmitis is the introduction of bacteria into the eye during surgery. Any lapse in sterile technique or contamination of surgical instruments and supplies can lead to infection.
  • Pre-existing Eye Conditions: Patients with certain ocular conditions, such as ocular surface disease (dry eye, blepharitis), diabetic retinopathy, or a history of uveitis, are more susceptible to infections and may have an increased risk of developing endophthalmitis.
  • Post-operative Care: Inadequate care of the eye after surgery, such as failure to use prescribed antibiotic drops, poor hygiene, or rubbing and touching the eye, can increase the risk of infection.

Treatment Options for Endophthalmitis

If endophthalmitis does occur, immediate treatment is crucial to preserve vision. Treatment options include:

  • Intravitreal Antibiotics: Direct injection of antibiotics into the eye to rapidly control the infection.
  • Vitrectomy: In more severe cases, a vitrectomy may be performed to remove the infected vitreous and replace it with a sterile solution.
  • Monitoring and Follow-Up: Close monitoring for any changes in symptoms and follow-up care to ensure the infection is completely resolved.

Seek Endophthalmitis Care Near Baltimore

While we at Elman Retina do not perform cataract surgery, our retinal specialists provide expert care for complications that can arise from eye surgeries, including endophthalmitis. Our focus is on delivering prompt and effective treatment to manage this serious condition and prevent any long-term effects on your vision.

If you suspect you are experiencing symptoms of endophthalmitis after an eye procedure, or if you require expert care for any post-surgical complications, do not hesitate to contact us in Rosedale, Glen Burnie, Pikesville or Catonsville, MD at (410) 686-3000.