Question

A diabetic patient 2 days after post cataract surgery develops develops hypopyon. What will be the management ?

• A. Intravitreal antibiotics
• B. Eye drops
• C. Surgery
• D. No treatment required

Answer 1

The Correct Option is A

Following cataract surgery, a patient may develop an eye condition known as endophthalmitis, which can present symptoms such as hypopyon. Hypopyon indicates the presence of an inflammatory reaction in the anterior chamber of the eye due to an infection. This condition is considered an ophthalmic emergency and requires prompt intervention to preserve vision and prevent further complications.

In this scenario, the management approach involves the following steps: 

1. Diagnosis and Immediate Action: Recognize signs of infection such as pain, redness, and vision reduction alongside hypopyon. The presence of symptoms shortly after cataract surgery, especially in a diabetic patient who might have an increased risk for infections, heightens the suspicion of endophthalmitis.
2. Intravitreal Antibiotics: Administer intravitreal antibiotics directly into the vitreous chamber of the eye. This allows for a high concentration of antibiotics at the infection site, crucial for managing bacterial infections effectively.

Given these details, Intravitreal antibiotics is the correct and immediate management step as it addresses the infection aggressively.