Article Figures & Data
Figures
- FIG 1
A hypopyon is seen as a layer of white blood cells in the aqueous in this eye with endogenous S. aureus endophthalmitis. (Republished from reference 66 with permission of Springer.)
- FIG 2
Fungal endophthalmitis from Scedosporium. Note the “clumped” appearance of the intraocular inflammation. (Republished from reference 66 with permission of Springer.)
- FIG 3
Vitreous sampling by needle aspirate (A) or vitrectomy (B).
- FIG 4
Gram stain of an intraocular sample demonstrating abundant pigment granules but no organisms. Pigment granules usually appear purple on Gram stain (a) and can be mistaken for Gram-positive cocci unless the fine-focus knob is rotated back and forth, which shows the hyperrefractile (coppery) color of the pigment granules (b).
- FIG 5
Endophthalmitis resulting from extension of Alternaria keratitis. Note the irregular borders of the corneal infiltrate and satellite lesions, both typical of mold keratitis.
- FIG 6
Endogenous Candida albicans endophthalmitis following illicit injection drug use. A vitreous aspirate was culture negative, so a vitrectomy was performed, and this yielded the diagnosis. Note white lesions overlying the retina, typical of endogenous fungal endophthalmitis.
Tables
- TABLE 1
Major categories of endophthalmitis
Category Risk factor Relative frequency (% of all endophthalmitis cases) Major pathogens Acute postcataract Cataract surgery 40–80 Coagulase-negative staphylococci (70% of cases), Staphylococcus aureus (10%), streptococci (9%) Postinjection Intravitreal injection 0–50 Coagulase-negative staphylococci, streptococci Posttraumatic Penetrating eye trauma 2–15 Coagulase-negative staphylococci, Bacillus, streptococci, Gram-negative bacilli, fungi Bleb related Filtering bleb (for glaucoma) 0–5 Streptococcus pneumoniae and other streptococci, enterococci, Haemophilus influenzae Keratitis related Corneal infection 0–10 Fungi (Aspergillus, Fusarium) in 50%, S. aureus, streptococci, Pseudomonas Endogenous Bacteremia or fungemia 0–20 Klebsiella pneumoniae (especially in East Asian nations), Candida, streptococci, S. aureus, Escherichia coli
- Top
- Article
- SUMMARY
- INTRODUCTION
- PATHOGENESIS
- CLINICAL FEATURES
- DIAGNOSIS
- POSTOPERATIVE ENDOPHTHALMITIS
- POSTINJECTION ENDOPHTHALMITIS
- POSTTRAUMATIC ENDOPHTHALMITIS
- BLEB-RELATED ENDOPHTHALMITIS
- KERATITIS-RELATED ENDOPHTHALMITIS
- ENDOGENOUS ENDOPHTHALMITIS
- VISUAL OUTCOMES AND MICROBIOLOGY
- PREVENTION
- CONCLUSION
- REFERENCES
- Author Bios
- Figures & Data
- Info & Metrics