Reference no: EM133635036

Question: The patient, a 45 year old male, was seen in the intensive care unit by the ophthalmologist in consultation. The patient was acutely ill with sepsis and infected joints. The patient was noted to have a very red swollen eye. The consultant concluded the patient had acute panophthalmitis and received consent from the patient's wife to perform an anterior sclerotomy and drainage of the right eye vitreous as well as an intra-vitreal injection of anti-infective agents into the eye. The patient was taken to surgery and the eye was examined again. There was significant puss in the anterior chamber with layered hypopyon inferiorly. No view of the posterior segment was possible. And ultrasound of the eye showed the retina to be flat. A lid speculum was placed in the right eye and betadine dripped on the conjunctival surface. A needle was placed through the temporal pars plana into the mid vitreous cavity and .5 CC's of liquid vitreous was aspirated without difficulty. Vancomycin 1 milligram in .1 CC and CEFTAZIDIME 2mg in .1 CC where each injected into the mid vitreous by way of the temporal pars plana without difficulty. The vitreous sample was sent for culture. The eye was protected with a dressing for surgical recovery. Code only for the eye condition and procedure on this case.