Endophthalmitis is a severe eye infection that can cause blindness if left untreated. It is critical to seek prompt and proper treatment to prevent any permanent damage to the eye. In this regard, mRetina meeting is an online platform that brings together retina specialists to discuss the latest diagnostic and management advances and challenges associated with endophthalmitis. By staying up-to-date on the latest research and developments, specialists can provide the best possible care to patients suffering from this condition.

Approaching a case of endophthalmitis

Dr.Ameen Marashi (born December 9, 1983) is a Syrian ophthalmologist and retina specialist. He has published several books and research articles in the field of retina and is the Al-Marashi Clinics Group owner. He graduated with a Diploma degree in Medicine from the Chuvash State University Institute of Medicine in 2008, and a certificate from the International Council of Ophthalmology in 2013, and completed a specialization in ophthalmology in Tartous Hospitals in 2009, and from 2010 until 2013 in Aleppo, and obtained a certificate Syrian Board 2016.

Endophthalmitis best practice for prevention 

Jorge Rocha, MD President iRetina Eye Institute General Secretary of CBO- Brazilian Council Ophthalmology General Secretary of BRAVS - Brazilian Retina and Vitreous Society RWC E-live Chair RWC executive board MEOM executive board.

Intravitreal antibiotics is still worth it? 

Ahmed Sallam, MD PhD FRCOphth Director Uveitis Service Residency Program Director Professor of Retina & Uveitis  Jones Eye Institute University of Arkansas for Medical Sciences

PPV for endophthalmitis 

Khaqan, MD, FRCS Prof of Ophthalmology, Department of Ophthalmology, PGMI, AMC, LGH, Lahore Vitreoretinal Surgeon Organizing Secretary Afro Asian Congress of Ophthalmology (AACO) 2022, Lahore, Pakistan International & National Coordinator of Pakistan Vitreo Retinal Society (PVRS) General Secretary Ophthalmological Society of Pakistan, Lahore Assistant Editor Pakistan Journal of Ophthalmology (PJO).

Panel Discussion

Meeting Summary 

For the approaching a case of endophthalmitis talk

When a patient presents with hypopyon and fibrin, it's important to consider the possibility of endophthalmitis. A prompt B-scan should be performed to assess for increased chorioretinal thickness and vitritis. It is crucial to culture the vitreous to identify the causative organism and determine the appropriate antibiotic treatment. Early detection and prompt treatment are key to successful management of endophthalmitis.

For Endophthalmitis best practice for prevention talk

1. Regular surveillance of various specimens such as air-conditioning systems should be carried out monthly while water systems should be monitored every six months. 

2. Surveillance should be continuous also in materials required in cataract surgery 

3. ⁠Moxifloxacin intracameral 100µg/ 0,1 ml may reduce pos catarata Endophthalmitis.

3. Antibiotics multidrug-resistant bacterial may benefit from Povidone iodine 0.0025% irrigation in pars plans vitrectomy.

4. Povidone-iodine 5% drops should be previously surgery

For Intravitreal antibiotics is still worth it? talk

In post-procedural endophthalmitis, the main line of treatment is intravitreal antibiotics. There is no evidence that early pars plans vitrectomy improves the outcome over intravitreal antibiotics alone.

For PPV for endophthalmitis talk

Post-operative Endophthalmitis, Immediately Tap and inject antibiotics & plan Vitrectomy as soon as possible with no mandatory PVD, try to clear the vitreous cavity as much as possible, don’t use a high vacuum to aspirate debris from the retina rather use a back flush needle to churn the debris and aspirate & always do 360 encircling laser and Endotamponade of silicone oil 1000 cs ( remove after 3 months )

Explore more

Do antibiotics still play a significant role in treating vitrectomy in today's era? Can antibiotics be considered as an alternative treatment for this severe ailment if we don't have adequate facilities and experts? Join us in our upcoming debate to explore these questions and more. Don't forget to mark your calendars and attend the event!