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ENDOPHTHALMITIS - 2 reference results
Endophthalmitis
Endophthalmitis is an inflammation of the internal coats of the eye. It is a dreaded complication of all intraocular surgeries, particularly cataract surgery, with possible loss of vision and the eye itself. Infectious etiology is the most common and various bacteria and fungi have been isolated as the cause of the endophthalmitis. Other causes include penetrating trauma and retained intraocular foreign bodies.

Signs and symptoms

A history of recent intraocular surgery or penetrating ocular trauma is usually elicited. In some cases of metastatic endophthalmitis, the spread of infection may be hematogenous (via the blood-stream). That is more commonly seen in patients with immunocompromised states like AIDS and also in diabetes. The condition is usually accompanied by severe pain, loss of vision and redness of the conjunctiva and the underlying episclera. Alongside are present signs of inflammation of the various coats of the eye. Hypopyon can also be present in endophthalmitis and should be looked for on examination by a slit lamp. Progression to involve all the coats of the eye is called panuveitis or panophthalmitis.

Treatment

The patient needs urgent examination by an expert ophthalmologist and/or vitreo-retina specialist who will usually decide for urgent intervention to provide intravitreal injection of potent antibiotics and also prepare for an urgent pars plana vitrectomy as needed. Enucleation may be required to remove a blind and painful eye.

References

External links

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This article is licensed under the GNU Free Documentation License.
Last updated on Thursday September 11, 2008 at 16:12:45 PDT (GMT -0700)
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New endophthalmitis therapy study findings recently were reported by researchers at University of Utah, Department of Pharmacy.(Clinical report)
Oct 08, 2008; A report, 'Third- and fourth-generation fluoroquinolones: retrospective comparison of endophthalmitis after cataract surgery...
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Evaluation of outcome of various treatment methods for endogenous endophthalmitis
Nov 01, 2006; Endogenous endophthalmitis is a potentially blinding intraocular infection resulting from the hematogenous spread of organisms...
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Topical antibiotic treatment effective in preventing endophthalmitis
Nov 01, 2006; Clinical signs Topical antibiotic treatment effective in preventing endophthalmitis Rabbit model shows presoaked collagen shield...
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Relationship between Clinical Presentation and Visual Outcome in Postoperative and Posttraumatic Endophthalmitis in South Central India.(Original Article)
Jan 01, 2005; Byline: Taraprasad. Das, Derek. Kunimoto, Savitri. Sharma, Subhadra. Jalali, Ajit. Majji, T. Nagaraja Rao, Usha. Gopinathan,...
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New findings reported from City University of New York describe advances in endophthalmitis microbiology.(Clinical report)
Oct 08, 2008; Fresh data on endophthalmitis are presented in the report 'Laboratory diagnosis of endophthalmitis: comparison of microbiology...
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