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Review
. 2016:55:176-88.
doi: 10.1159/000431195. Epub 2015 Oct 26.

Ocular Infection: Endophthalmitis

Stephen G Schwartz, Harry W Flynn Jr, Taraprasad Das, William F Mieler
Review

Ocular Infection: Endophthalmitis

Stephen G Schwartz et al. Dev Ophthalmol. 2016.

Abstract

Endophthalmitis is characterized by marked inflammation of intraocular fluids and tissues. Infective endophthalmitis may be categorized by the cause of the infection, which helps predict the underlying etiology and most likely causative organisms. The major category remains acute-onset postoperative endophthalmitis. Infective endophthalmitis is a clinical diagnosis but is confirmed by evaluation of intraocular fluid specimens. The Endophthalmitis Vitrectomy Study offered important guidelines for the initial management of endophthalmitis, and these guidelines remain relevant to this day. Prompt initiation of empiric broad-spectrum antimicrobial therapy is important in achieving best outcomes.

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Figures

Fig. 1
Fig. 1
a Acute-onset postoperative endophthalmitis. Note conjunctival injection, corneal edema and hypopyon. b Resolution of infection following treatment.
Fig. 1
Fig. 1
a Acute-onset postoperative endophthalmitis. Note conjunctival injection, corneal edema and hypopyon. b Resolution of infection following treatment.
Fig. 2
Fig. 2
a Endophthalmitis associated with filtering bleb. Note conjunctival injection, purulent filtering bleb and anterior chamber fibrin. b Resolution of infection following treatment.
Fig. 2
Fig. 2
a Endophthalmitis associated with filtering bleb. Note conjunctival injection, purulent filtering bleb and anterior chamber fibrin. b Resolution of infection following treatment.
Fig. 3
Fig. 3
Endophthalmitis associated with microbial keratitis.
See this image and copyright information in PMC

References

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