Endophthalmitis

Endophthalmitis is a purulent inflammation of the inner membranes of the eye with the formation of an abscess in the vitreous body.

Etiology and pathogenesis: endophthalmitis develops as a result of infection of intraocular tissues. Causes: penetrating wounds of the eye, abdominal surgery on the eyeball, perforated ulcers of the cornea or metastatic damage to the eye due to purulent processes in the body.

Symptoms:

  1. Eye pain
  2. Swelling of the eyelids and conjunctiva
  3. Expressed mixed injection of the eyeball
  4. Sharp decrease in vision
  5. Corneal edema
  6. Exudate in the anterior chamber
  7. Change in reflex color in the vitreous

Treatment:

  1. Daily injections of antibiotics (benzylpenicillin, streptomycin, monomycin) under the conjunctiva and retrobulbar
  2. Instillations and baths with trypsin
  3. Systemic use of antibiotics and sulfonamides
  4. Anterior chamber paracentesis with antibiotic and trypsin irrigation in the early stages

Prognosis: the disease is dangerous due to loss of vision and eyes. It is possible to preserve the eye and vision only in some cases.



Endophthalmitis is an infectious and inflammatory disease of the eye and tissues surrounding the eye, in which all three membranes of the eye are simultaneously affected. Most often, endophthalmitis occurs as a complication of penetrating wounds of the eye, cataract extraction, inflammation of the iris, bleeding (hemophthalmos), secondary glaucoma.\n\nThe causative agents of the disease are treponema pallidum, gonococci, staphylococcus, pneumococcus, meningococcus achromium-bacteren, rickettsiaproteus endemic keratoconjunctivitis, legiosteptoxemotic cocci, microscopic fungus, mixed microflora, etc. Possible eye damage