Endophthalmitis - Ophthalmology - Medbullets Step 2/3

Snapshot
- A 70-year-old woman presents to the emergency department for severe pain and redness of her left eye for the past day. She underwent left eye cataract surgery approximately 1 week ago. Over the past few days, her ocular pain has progressively worsened and her vision has deteriorated in her left eye. Ophthalmology was consulted and performed a dilated fundus examination, noting findings of conjunctival redness, hypopyon, and vitreous opacities. A vitreous sample is obtained and she undergoes intravitreal administration of vancomycin, ceftazidime, and voriconazole.

INTRODUCTION
- Endophthalmitis is an inflammation of the intraocular fluids, usually due to bacterial or fungal infection.
- Diagnosis is made on the basis of clinical features, including eye pain, decreased visual acuity, diffuse bulbar conjunctival hyperemia, hypopyon, and signs of intraocular inflammation.
- Treatment consists of intravitreal injection of antimicrobials.

Prognosis
- vision-threatening emergency
- can lead to blindness if not promptly treated
- visual acuity of light perception-only at presentation portends poor prognosis

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