Purpose: To describe the management of endophthalmitis in an eye fille
d with silicone oil for prolonged internal retinal tamponade. Methods:
A patient with a silicone oil-filled eye developed endophthalmitis po
stoperatively. Results of clinical examination, diagnostic procedures,
and surgical management are described. Results: Removal of the silico
ne oil, injection of antibiotics into the fluid-filled vitreous cavity
, and reinjection of silicone oil resulted in resolution of the endoph
thalmitis and improvement in vision. Conclusions: Aggressive managemen
t of endophthalmitis in an eye requiring silicone oil tamponade may sa
lvage useful vision.