Hi. I'm online and happy to answer your question today.
Dr. Pippistellodaqa has asked me to help you with this question as I am a retina surgeon. I agree with what he has told you so far.
You might have noticed that I replied to this issue when you posted it earlier, but let me repeat my response here for your information.
Dr. Rick : It sounds like your mother has endophthalmitis
, a very rare but very severe complication that can happen after cataract surgery. As a retina specialist I treat a lot of these infections.
Dr. Rick : Cultures are always done so that if the immediate therapy is not working you will, hopefully, have an organism identified that can help you to modify the treatment. As you already know, treatment starts before the results of the cultures are known.
Dr. Rick : Actually her final sight outcome does NOT depend on when, or if, the retinal surgeon does any surgery (vitrectomy
) but, rather, on what type of bacteria has invaded her eye, how much damage is done to her retina and other structures by the bug, inflammation, and swelling etc.
Dr. Rick : Sometimes patients like your mother are monitored in a hospital setting but, in the majority of cases, therapy consists of the intravitreal injections (inside the eyeball), subconjunctival injections (around the eyeball) and very frequent strong topical antibiotic drops. I would say that 98% of my cases of endophthalmitis are treated as outpatients
Dr. Rick : The retina specialist is going to watch your mother very closely to make sure that the infection is getting better every day, in some cases I check a patient twice a day....he will then see if she has any complication (high eye pressure, retinal detachment
, cornea problems etc) and deal with them if they come up.
Dr. Rick : I wish I could tell you that everything is going to be OK but, unfortunately, this condition is about as serious as it gets in my field. All that can be done right now is for her to get the best care possible and hope for the best.
Dr. Rick : Now. You might want to ask: "What did the surgeon do wrong?" and the answer is: Nothing.
This is just one of the risks of having eye surgery
and, rarely, it happens and there is no rhyme or reason why it happened to your mom.
Dr. Rick : Does this make sense to you?
Dr. Rick : Please remember the top 3 ratings are positives and Excellent service is my goal. Your positive feedback is how we are compensated. If you aren't 100% satisfied, just click "reply." I will be happy to discuss your issue in more depth and do everything I can to provide you with the information you require.
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Let me know if you have further questions.