Endophthalmitis is an inflammation affects the internal coats of eye. It is a possible complication of all the intraocular surgeries, especially cataract surgery, with possible loss of vision & the also eye itself. Infectious etiology is the most common cause of endophthalmitis. The other causes may include retained of intraocular foreign bodies & penetrating trauma.
There is generally a history of recent intraocular operation or penetrating ocular trauma. In some certain cases of endogenous endophthalmitis especially in immune compromised patients or those with the diabetes the spread of infection can be hematogenous (via the blood-stream).
Endophthalmitis is usually related with the redness of conjunctiva, severe pain, loss of vision & the underlying episclera.
The patient wants an immediate examination of eye by an ophthalmologist if possible it is best to consult a vitreo-retina specialist who will usuually decide for the urgent intervention to give the intravitreal injection of potent antibiotics & also prepare for the immediate operation (pars plana vitrectomy) as needed. Evisceration will be necessary if the condition is very severe.
Vitrectomy surgery, will help to manage endophthalmitis by removing the infecting organisms & their toxins .At the end of operation exact and suitable antibiotics were injected into the eye to contain the infection. The aim of treatment is to stop the infection and preserve the eyeball. Vision may or may not recover depending upon the extent of damage caused by the organism.
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