Endophthalmitis
Endophthalmitis: a serious eye infection
Endophthalmitis is a serious eye infection that can be caused by various sources, including trauma or surgery. It can be bacterial, fungal, or viral in origin, but when caught early, it can usually be treated with antibiotics and other medications. Endophthalmitis is a potentially blinding infection, so prompt diagnosis and treatment are essential to preserve vision.
The signs and symptoms of endophthalmitis can vary depending on the cause, but typically include:
- Redness
- Pain
- Swelling
- Blurred vision
- Insensitivity to light
- The formation of gray spots or clouds in the vision
- The appearance of white or black floaters
It's important to note that endophthalmitis can occur within hours after a foreign body, such as a metal object or particle, enters the eye. So it's important to seek medical help promptly if you experience any signs or symptoms. While endophthalmitis can occur spontaneously, it is usually associated with recent eye surgery or trauma.
The diagnosis of endophthalmitis is typically made by an ophthalmologist, who uses a specialized instrument called a slit-lamp to examine the eye and can also take specialized imaging tests, such as ultrasound or CT scan. Blood tests may also be ordered to determine the organism responsible for the infection.
Treatment of endophthalmitis is tailored to the type of bacteria or fungus causing the infection. Common treatments include antibiotics, such as penicillin or its derivatives, antifungal drops, steroids, and/or anti-inflammatory medications. If the infection is severe or vision is badly impaired, surgery may be required. In cases where the infection cannot be treated with medication, it may be necessary to remove the eye and replace it with a prosthesis.
Preventing endophthalmitis
If you undergo a surgical procedure, your doctor will likely prescribe antibiotics before and after the procedure. These medications can help reduce the risk of endophthalmitis and will likely be prescribed for at least one week after surgery. In addition, it is important to follow up with your doctor promptly if you experience any signs or symptoms of infection.
If you are recently diagnosed with endophthalmitis, it is important to follow your doctor's instructions for treatment. Take all medications as prescribed, and follow up with your doctor regularly. In addition to medical treatment, it is important to take steps to reduce the risk of recurrence. These include practicing good hygiene and avoiding contact with contaminated objects or people. Additionally, if you wear contact lenses, be sure to regularly clean and replace them.