What’s Endophthalmitis? Evidence-Based vs Common sense-Based Medicine

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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