Case Report

Intravitreal Ampicillin Sodium for Antibiotic-Resistant Endophthalmitis: Streptococcus uberis First Human Intraocular Infection Report

Figure 2

Patient’s clinical evolution: ((a) and (c)) previous air-fluid interchange and intravitreal ampicillin sodium; the anterior segment biomicroscopy showed severe conjunctival hyperemia, severe cellularity, and Hypopyon with a fibrin clot on the surface of the intraocular lens. The details of the retina cannot be observed due to significant posterior opacities. However, the optic nerve seems to be extremely pale with severe attenuation of the blood vessels. ((b) and (d)) Four weeks after second surgery; anterior segment biomicroscopy showed an improvement in conjunctival hyperemia (mild), with disappearance of Hypopyon and fibrin cloth, and the retina showed extensive areas of photocoagulation (first surgery), severe pallor of the optic nerve, bloodless vessels, and vitreous cavity filled with silicon oil.
169739.fig.002a
(a)
169739.fig.002b
(b)
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(c)
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(d)