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Endophthalmitis

Definition

Endophthalmitis involves swelling (inflammation) within the eyeball. It is a serious condition.

Causes

Endophthalmitis is caused by infection with bacteria or a fungus. It very often occurs as a rare complication of cataract or other eye surgery.

Symptoms

The symptoms are:

  • Decreased vision
  • Pain
  • Redness
  • Swelling of the eyelids

Call your health care provider right away if you have these symptoms after eye surgery.

Gallery

Bloodshot eyes
The white portion of the eye (sclera) can appear red when the vessels on the surface become enlarged. This may result from mechanical irritation, environmental irritants (such as extremely dry air, excess sun exposure), allergic reactions, infection, and other medical conditions. A bright red, uniformly dense bloody area on the sclera results from a small amount of bleeding (hemorrhage) into the conjunctiva. It is a fairly common occurrence and is usually caused by straining or coughing. It generally clears up on its own after a few days.

References

Cioffi GA, Liebmann JM. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 395.

de Geus SJR, Hopman J, Brüggemann RJ, Klevering BJ, Crama N. Acute endophthalmitis after cataract surgery: clinical characteristics and the role of intracameral antibiotic prophylaxis. Ophthalmol Retina. 2021;5(6):503-510. PMID: 32956857 pubmed.ncbi.nlm.nih.gov/32956857/.

Durand ML. Endophthalmitis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 114.

Rodger DC, Shildkrot YE, Eliott D. Infectious endophthalmitis. In: Yanoff M, Duker JS, eds. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019:chap 7.9.

Last reviewed September 3, 2021 by Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team..

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