What’s Endophthalmitis? Evidence-Based vs Common sense-Based Medicine
Updated 2017-01-09 09:20:00
Endophthalmitis
• Exogenous Endophthalmitis
• Post-operative Endophthalmitis
• Traumatic Endophthalmitis
• Endogenous Endophthalmitis
Sterile (non-infectious, pseudo) endophthalmitis
Any acute intraocular inflammation without infection that resolves without antibiotic treatment
Panophthalmitis
The inflammation of all eye tissue, usually involve sclera, orbit and surrounding soft tissue
Hypopyon
- Hypopyon ≠ Endophalmitis
- Ulcer: Corneal infiltrate and epithelial defect
- Endophthalmitis
- Uveitis: HLA-B27, Behcet
- Masquerade: intraocular lymphoma
- Intent anterior chamber reaction
Ophthalmic ultrasound
§ Help to evaluate posterior segment in the media opacity cases
§ Remember !!! Endophthalmitis is CLINICAL DIAGNOSIS
EVS (1995)
Conclusion: Omission of systemic antibiotic treatment can reduce toxic effects, costs, and length of hospital stay. Routine immediate vitrectomy is not necessary in patients with better than light perception vision at presentation but is of substantial benefit for those who have light perception- only vision
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