Nursing Care In Endophthalmitis Post Cataract Surgery : Case Study 3 Cases

Abstract

Endophthalmitis is the most serious complication of cataract surgery. It is caused by pathogenic organism growth and invasion into the eyeball. The pathogens enter into the body in two ways. First, they go through surgical or non-surgical wounds outside the body; called exogenous endophthalmitis. And the other way, the pathogens are from previously infected source inside the body and go through bloodstream into the eyeball; called endogenous endophthalmitis. This report collected from 1ST October 2014 to 30th September 2015. Mahasarakam Hospital had conduted Cataract surgery for 1,772 patients. Thear were three case of acute post – operation endophthalmitis (0.17 percent). This retrospective study had collected the data from the In-patient medical records, postoperative notes and summary notes of infectious investigations of the hospital infection control team. The patients received the treatments including intravenous and intravitreal antibiotics injection, anterior chamber irrigation and vitrectomy. The pre-discharge visual acuity of the first patient was 20/50. The other two patients were light perception. The results of this study can help improving patient safety in perioperative cares of cataract surgery and can be data resources for further studies.

Keywords : complication of cataract surgery, intravitreous injection, vitrectomy