PMC5088442_01
a Intraoperative snap shot of subretinal abscess after performing core vitrectomy (preoperative images could not be obtained due to 3+/4+ media haze), b intraoperative snapshot showing penetration of the subretinal abscess with 41G needle just before intralesional antibiotic injection, c postoperative (day 1) wide angle fundus photograph shows large subretinal abscess, minimal subretinal hemorrhage and significant subretinal exudative fluid surrounding the abscess and tracking inferiorly, d postoperative (day 10) fundus photograph shows significant shrinkage of the abscess and resolution of the exudative detachment
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Fig1
After core vitrectomy and sufficient clearing of media, a yellowish subretinal abscess of approximately 8 x 6 disc areas could be visualized in the superotemporal region (Fig. 1a). An elevated and relatively less vascular area was identified over the abscess. 41G needle (DORC international, Netherlands) was used to inject Vancomycin (0.05 mg/0.05 ml) directly into the subretinal abscess (Fig. 1b). There was a track of exudative fluid along the temporal aspect and minimal subretinal bleed adjacent to the abscess (Fig. 1c). On day 10, after surgery the subretinal abscess had shrunk significantly and there was absence of any subretinal fluid (Fig. 1d).