Question:medium
A diabetic patient develops hypopyon 2 days after cataract surgery. What is the management?
A diabetic patient develops hypopyon 2 days after cataract surgery. What is the management?
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Post-cataract hypopyon = acute endophthalmitis; give intravitreal antibiotics, not just drops.
Updated On: Jun 24, 2026
- Intravitreal antibiotics
- Eye drops
- Surgery
- No treatment required
Show Solution
The Correct Option is A
Solution and Explanation
Step 1: Interpret the signs. Pus in the front chamber of the eye within days of intraocular surgery, especially in a diabetic, signals acute postoperative endophthalmitis, a sight-threatening infection inside the eye.
Step 2: Decide the route. Because the bacteria sit deep within the vitreous, an effective drug level can only be reached by injecting directly into that space.
Step 3: Apply the treatment. The accepted urgent management is intravitreal injection of antibiotics, typically broad-spectrum agents such as vancomycin and ceftazidime, usually combined with a diagnostic vitreous tap.
Step 4: Exclude the weaker options. Eye drops do not penetrate to the vitreous, withholding treatment courts irreversible blindness, and vitrectomy is held back for the most severe presentations. Therefore intravitreal antibiotics is the answer.
\[\boxed{\text{Intravitreal antibiotics}}\]
Step 2: Decide the route. Because the bacteria sit deep within the vitreous, an effective drug level can only be reached by injecting directly into that space.
Step 3: Apply the treatment. The accepted urgent management is intravitreal injection of antibiotics, typically broad-spectrum agents such as vancomycin and ceftazidime, usually combined with a diagnostic vitreous tap.
Step 4: Exclude the weaker options. Eye drops do not penetrate to the vitreous, withholding treatment courts irreversible blindness, and vitrectomy is held back for the most severe presentations. Therefore intravitreal antibiotics is the answer.
\[\boxed{\text{Intravitreal antibiotics}}\]
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