endophthalmitis

眼内炎

WordNet

1. severe conjunctivitis (同)ophthalmitis

PrepTutorEJDIC

1. 眼炎(目が赤くはれる炎症)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/10/12 11:19:37」(JST)

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Endophthalmitis
Classification and external resources
ICD-10	H44.0-H44.1
ICD-9	360.0-360.1
DiseasesDB	30828
MedlinePlus	001626
eMedicine	emerg/880 oph/393 oph/394 oph/706
MeSH	D009877

Endophthalmitis is an inflammation of the internal coats of the eye. It is a possible complication of all intraocular surgeries, particularly cataract surgery, with possible loss of vision and the eye itself. Infectious etiology is the most common and various bacteria and fungi have been isolated as the cause of the endophthalmitis. Other causes include penetrating trauma and retained intraocular foreign bodies.

Signs and symptoms

In cases of endophthalmitis, one usually finds a history of recent intraocular surgery or penetrating ocular trauma. In some cases of metastatic endophthalmitis—particularly in immunocompromised patients or those with diabetes—the spread of infection may have been hematogenous (via the blood-stream).

Endophthalmitis is usually accompanied by severe pain, loss of vision, and redness of the conjunctiva and the underlying episclera. Also present are signs of inflammation of the various coats of the eye. Hypopyon can be present in endophthalmitis and should be looked for on examination by a slit lamp.

An eye exam may indicated in severe forms of candidiasis. 1-3% of cases of candidal blood infections include endophthalmitis.

Complications

• Panuveitis or Panophthalmitis — Progression to involve all the coats of the eye.
• Corneal ulcer
• Orbital cellulitis
• no light perception vision

Treatment

The patient needs urgent examination by an ophthalmologist and/or vitreo-retina specialist who will usually decide for urgent intervention to provide intravitreal injection of potent antibiotics and also prepare for an urgent pars plana vitrectomy as needed. Enucleation may be required to remove a blind and painful eye.

References

External links

• Endophthalmitis at eMedicine
• Fungal Endophthalmitis at eMedicine

UpToDate Contents

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• 1. 細菌性眼内炎 bacterial endophthalmitis
• 2. 真菌による眼内炎の治療 treatment of endophthalmitis due to molds
• 3. 真菌性眼内炎の疫学、臨床症状、および診断 epidemiology clinical manifestations and diagnosis of fungal endophthalmitis
• 4. カンジダ属に起因する内因性眼内炎の治療 treatment of endogenous endophthalmitis due to candida species
• 5. カンジダ属による外因性眼内炎の治療 treatment of exogenous endophthalmitis due to candida species

English Journal

• Colletotrichum truncatum species complex: Treatment considerations and review of the literature for an unusual pathogen causing fungal keratitis and endophthalmitis.

• Squissato V1, Yucel YH2, Richardson SE3, Alkhotani A4, Wong DT4, Nijhawan N4, Chan CC4.
• Medical mycology case reports.Med Mycol Case Rep.2015 Jun 5;9:1-6. doi: 10.1016/j.mmcr.2015.06.001. eCollection 2015.
• We present a case of Colletotrichum truncatum species complex fungal keratitis and endophthalmitis in an 87-year-old immunocompetent male in whom oral triazole antifungals were contraindicated. The patient had recently returned from 4 months in Jamaica with a one month history of progressively incre
• PMID 26137437

• A survey of vitreous cell components performed using liquid-based cytology.

• Narumi M1, Nishitsuka K1, Yamakawa M2, Yamashita H1.
• Acta ophthalmologica.Acta Ophthalmol.2015 Aug;93(5):e386-90. doi: 10.1111/aos.12623. Epub 2015 Mar 9.
• PURPOSE: To confirm the efficacy of liquid-based cytology (LBC) method in the observation of vitreous cells in various vitreoretinal diseases in human.METHODS: Vitreous fluid samples from 30 eyes were obtained by 23-gauge 3-port pars plana vitrectomy. After making three ports, we collected vitreous
• PMID 25752226

• Risk Factors Predictive of Endogenous Endophthalmitis Among Hospitalized Patients With Hematogenous Infections in the United States.

• Chen KJ1, Chao AN1, Chen TL1, Liu L1, Hwang YS1, Chen YH1.
• American journal of ophthalmology.Am J Ophthalmol.2015 Aug;160(2):391-2. doi: 10.1016/j.ajo.2015.04.032.
• PMID 26187877

Japanese Journal

• 臨床 副鼻腔炎より生じた内因性眼内炎例

• 岩垣 俊憲,大橋 真希子,山口 洋平
• 耳鼻咽喉科臨床 105(6), 543-548, 2012-06
• NAID 40019347594

• クリのイガ刺入後に生じたMalassezia眼感染症の1例 (特集 第65回日本臨床眼科学会講演集(3))

• 諸戸 尚也,小森 伸也,小國 務 [他]
• 臨床眼科 66(5), 623-627, 2012-05
• NAID 40019332044

Related Links

• Endophthalmitis - Wikipedia, the free encyclopedia

Endophthalmitis is an inflammation of the internal coats of the eye. It is a possible complication of all intraocular surgeries, particularly cataract surgery, with possible loss of vision and the eye itself. Infectious etiology is the most common and ...

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★リンクテーブル★

リンク元	「ophthalmia」

「ophthalmia」

　　[★] 眼炎

関

endophthalmitis、eye inflammation