June 5, 2020 Conference
Antibiotic prophylaxis in eye trauma patients and treatment of traumatic eye infections
Return to Session
Miriam Barshak, MGH/MEEI (Presenter)
Eye trauma increases the risks of ocular infections, including keratitis and endophthalmitis. Effective prevention and medical treatment of these infections requires the ability to identify high-risk patients, understand the microbiology and antibiotic options that provide both appropriate spectrum of coverage and adequate delivery to the site of concern, and pursue the interventions that may be beneficial. This talk will highlight new literature on infections following eye trauma, which focuses on updating understanding of the microbiology and approaches to prevention--including systemic and intraocular antibiotics, sealing small corneal perforations with a stromal cefuroxime hydration technique--and treatment, including antibiotics and interventions. This talk will also review newer antibiotics that may be considered for gram positive bacteria particularly in regard to the concern about hemorrhagic occlusive retinal vasculitis (HORV) following intraocular vancomycin injections.