High risk and low prevalence diseases: Endophthalmitis

被引:6
|
作者
Gunalda, Jonah [1 ]
Williams, Dustin [2 ]
Koyfman, Alex [2 ]
Long, Brit [3 ,4 ]
机构
[1] Univ Mississippi, Med Ctr, Dept Emergency Med, Jackson, MS USA
[2] UT Southwestern, Dept Emergency Med, Dallas, TX USA
[3] Brooke Army Med Ctr, Dept Emergency Med, SAUSHEC, Ft Sam Houston, TX USA
[4] 3551 Roger Brooke Dr, Ft Sam Houston, TX 78234 USA
来源
AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2023年 / 71卷
关键词
Ophthalmology; Infectious disease; Endophthalmitis; Vitreous humor; Aqueous humor; ENDOGENOUS BACTERIAL ENDOPHTHALMITIS; CATARACT-SURGERY; POSTOPERATIVE ENDOPHTHALMITIS; INFECTIOUS ENDOPHTHALMITIS; CONTAMINATION;
D O I
10.1016/j.ajem.2023.06.029
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction: Endophthalmitis is a serious, vision-threatening condition that carries with it a high rate of morbidity.Objective: This review highlights the pearls and pitfalls of endophthalmitis, including presentation, diag-nosis, and management in the emergency department (ED) based on current evidence.Discussion: Endophthalmitis is a vision-threatening emergency associated with infection and inflamma-tion of vitreous and aqueous humor. Risk factors include ocular trauma or surgery, immunocompromised state, diabetes mellitus, and injection drug use. History and examination include visual changes, ocular pain, and inflammatory findings (e.g., hypopyon). Fever may be present. Diagnosis should be based on the clinical evaluation, though aqueous or vitreous culture performed by the ophthalmology specialist is recommended. Imaging including computed tomography, magnetic resonance imaging, and ultra-sound may suggest the disease but cannot exclude the diagnosis. Management includes emergent oph-thalmology consultation and evaluation. Treatment for all types of endophthalmitis is injection of intravitreal antibiotics with consideration of vitrectomy in severe cases. Systemic antimicrobials are rec-ommended in specific types of endophthalmitis. Prompt recognition and diagnosis are key to optimizing favorable visual outcomes.Conclusions: An understanding of endophthalmitis can assist emergency clinicians in diagnosing and managing this serious disease.Published by Elsevier Inc.
引用
收藏
页码:144 / 149
页数:6
相关论文
共 50 条
  • [41] High risk and low incidence diseases: Stercoral colitis
    van Nispen, Christiaan
    Long, Brit
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2025, 90 : 151 - 156
  • [42] Very low prevalence of endophthalmitis in very low birth weight infants with candidemia
    Karlowicz, MG
    Fisher, RG
    PEDIATRIC RESEARCH, 2003, 53 (04) : 397A - 397A
  • [43] High Prevalence of Smoking and Alcohol as Risk Factors in Cardiovascular Diseases.
    Yamasani, Bhavani
    Pattubala, Siva Sakkara Reddy
    Raviprabhu, G.
    RESEARCH JOURNAL OF PHARMACEUTICAL BIOLOGICAL AND CHEMICAL SCIENCES, 2016, 7 (05): : 295 - 300
  • [44] Prevalence and risk factors for eye diseases, blindness, and low vision in Lhasa, Tibet
    Gui-Qin Wang
    Zong-Xi Bai
    Jing Shi
    Sang Luo
    Hong-Fa Chang
    Xiao-Yong Sai
    International Journal of Ophthalmology, 2013, 6 (02) : 237 - 241
  • [45] Prevalence and risk factors for eye diseases, blindness, and low vision in Lhasa, Tibet
    Wang, Gui-Qin
    Bai, Zong-Xi
    Shi, Jing
    Luo, Sang
    Chang, Hong-Fa
    Sai, Xiao-Yong
    INTERNATIONAL JOURNAL OF OPHTHALMOLOGY, 2013, 6 (02) : 237 - 241
  • [46] Very low prevalence of endophthalmitis in very low birthweight infants who survive candidemia
    Fisher R.G.
    Karlowicz M.G.
    Lall-Trail J.
    Journal of Perinatology, 2005, 25 (6) : 408 - 411
  • [47] High risk and low incidence diseases: Bariatric surgery complications
    Farooqi, Samia
    Montrief, Timothy
    Koyfman, Alex
    Long, Brit
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2025, 87 : 113 - 122
  • [48] High risk and low incidence diseases: Pediatric digestive volvulus
    Long, Brit
    Easter, Joshua
    Koyfman, Alex
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2024, 82 : 153 - 160
  • [49] Prevalence of and risk factors for endogenous endophthalmitis in patients with pyogenic liver abscesses
    Park, In Hyung
    Jun, Chung Hwan
    Wi, Jin Woo
    Park, Seon Young
    Lee, Wan Sik
    Jung, Sook In
    Park, Chang Hwan
    Joo, Young Eun
    Kim, Hyun Soo
    Choi, Sung Kyu
    Rew, Jong Sun
    KOREAN JOURNAL OF INTERNAL MEDICINE, 2015, 30 (04): : 453 - 459
  • [50] High prevalence of the metabolic syndrome in populations at high and low cardiovascular risk in Bulgaria
    Temelkova-Kurktschiev, T.
    Vladimirova-Kitova, L.
    Todorova, B.
    Kurktschiev, D.
    EUROPEAN HEART JOURNAL, 2009, 30 : 658 - 658