Endophthalmitis: Difference between revisions
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==Background== | |||
*Inflammation (usually infectious) of the aqueous or vitreous humor | |||
*Frequently leads to loss of vision (ocular emergency) | |||
==Causes== | |||
#Cataract surgery | |||
#Penetrating trauma | |||
#Extension of keratitis | |||
#Hematogenous spread | |||
==Clinical Features== | |||
#Headache | |||
#Eye pain | |||
#Photophobia | |||
#Vision loss | |||
#Ocular discharge | |||
#May also see: | |||
##Conjunctival/scleral injection | |||
##Chemosis | |||
##Hypopyon | |||
##Uveitis | |||
==Treatment== | ==Treatment== | ||
# | #Emergent ophtho consult (for intravitreal abx) | ||
#Vancomycin 1gm IV q12hr + ceftazidime 3gm IV q8hr | |||
==Disposition== | |||
*Admit | |||
==See Also== | ==See Also== | ||
[[Eye Algorithm (Main)]] | [[Eye Algorithm (Main)]] | ||
==Source== | |||
Tintinalli | |||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
Revision as of 02:40, 26 October 2011
Background
- Inflammation (usually infectious) of the aqueous or vitreous humor
- Frequently leads to loss of vision (ocular emergency)
Causes
- Cataract surgery
- Penetrating trauma
- Extension of keratitis
- Hematogenous spread
Clinical Features
- Headache
- Eye pain
- Photophobia
- Vision loss
- Ocular discharge
- May also see:
- Conjunctival/scleral injection
- Chemosis
- Hypopyon
- Uveitis
Treatment
- Emergent ophtho consult (for intravitreal abx)
- Vancomycin 1gm IV q12hr + ceftazidime 3gm IV q8hr
Disposition
- Admit
See Also
Source
Tintinalli