About Chronic endophthalmitis

What is Chronic endophthalmitis?

Chronic endophthalmitis is an inflammation of the inner layers of the eye, usually caused by a bacterial or fungal infection. It can cause vision loss, pain, and redness in the affected eye. Treatment typically involves antibiotics or antifungal medications, and in some cases, surgery may be necessary.

What are the symptoms of Chronic endophthalmitis?

Symptoms of chronic endophthalmitis may include:

-Decreased vision
-Pain in the eye
-Redness of the eye
-Sensitivity to light
-Floaters or flashes of light
-Tearing
-Blurred vision
-A white or yellowish discharge from the eye
-A feeling of pressure in the eye

What are the causes of Chronic endophthalmitis?

1. Postoperative endophthalmitis: This is the most common cause of chronic endophthalmitis and is usually caused by bacteria or fungi that enter the eye during or after surgery.

2. Traumatic endophthalmitis: This is caused by bacteria or fungi that enter the eye through a wound or injury.

3. Endogenous endophthalmitis: This is caused by bacteria or fungi that enter the eye from the bloodstream.

4. Immune-mediated endophthalmitis: This is caused by an immune reaction to a foreign body in the eye, such as a contact lens or intraocular lens.

5. Endophthalmitis caused by systemic diseases: This is caused by bacteria or fungi that enter the eye from a systemic infection, such as HIV or tuberculosis.

What are the treatments for Chronic endophthalmitis?

1. Intravitreal antibiotics: Intravitreal antibiotics are injected directly into the eye to treat chronic endophthalmitis. This is usually done in combination with topical antibiotics.

2. Intravitreal anti-inflammatory agents: Intravitreal anti-inflammatory agents, such as corticosteroids, can be used to reduce inflammation and swelling in the eye.

3. Vitrectomy: A vitrectomy is a surgical procedure in which the vitreous gel is removed from the eye. This can help to reduce inflammation and improve vision.

4. Laser therapy: Laser therapy can be used to reduce inflammation and improve vision.

5. Intravitreal injections of antiviral agents: Intravitreal injections of antiviral agents can be used to treat viral infections that may be causing the endoph

What are the risk factors for Chronic endophthalmitis?

1. Previous intraocular surgery
2. Previous intraocular injection
3. Previous ocular trauma
4. Previous ocular inflammation
5. Diabetes
6. Immunosuppression
7. Poorly controlled systemic infection
8. Poorly controlled systemic inflammation
9. Poorly controlled systemic hypertension
10. Poorly controlled systemic diabetes
11. Poorly controlled systemic hyperlipidemia
12. Poorly controlled systemic hypercoagulability
13. Poorly controlled systemic immunosuppression
14. Poorly controlled systemic corticosteroid use
15. Poorly controlled systemic anticoagulant use
16. Poorly controlled systemic antibiotic use
17. Poorly controlled systemic antifungal use
18. Poorly controlled systemic antiviral use
19. Poorly controlled systemic antineoplastic use
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Is there a cure/medications for Chronic endophthalmitis?

There is no cure for chronic endophthalmitis, but medications can be used to reduce inflammation and pain. These medications may include topical steroids, antibiotics, and anti-inflammatory drugs. In some cases, surgery may be necessary to remove the infected tissue.