Vitrectomy may be performed via an anterior limbal approach or a closed posterior approach. It is imperative that no vitreous strand is left above the pupillary plane. To detect any remaining vitreous, sweep the anterior chamber with a spatula from a paracentesis site 90 away from the surgical wound. An immobile round pupil suggests clearance from any vitreous that is invading the anterior chamber. The definitive management is primarily surgical.
Medical therapy is limited to broad-spectrum topical antibiotics for uncomplicated cases.
Refer to the articles on treatment of endophthalmitis for more information. Provided that this initial follow-up examination is fine, schedule regular checkups for uneventful anterior segment surgeries. An eye shield, especially at night, would protect the globe from any untoward traumatic episodes. Steroid drops may be given, depending on the amount of inflammation. Follow basic surgical techniques.