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  TAKEN FROM AAPOS WEBSITE ¬†ARTICLE UPDATED 3/2012 Endophthalmitis is an infection inside the eyeball (globe). The inside of the eye is sealed and sterile and typically not exposed to external organisms. Because the tissues within the eyeball are very delicate, endophthalmitis is very serious and can lead to blindness and even loss of the eye itself. The outside of eye is in constant contact with viruses, fungi and bacteria and infection of this part of the eye is conjunctivitis or keratitis There are two ways to contract endophthalmitis. Exogenous endophthalmitis is the most common form and occurs after penetration of the eyeball from trauma, surgery or erosion of an external eye infection into the eye. It is among the most serious complications of eye surgery. In contrast, endogenous endophthalmitis occurs when infectious organisms invade the inside of the eye from the bloodstream. This occurs more commonly in individuals with severe blood born infections, often when the immune system is compromised. Despite meticulous sterile technique, any eye surgery may cause endophthalmitis. Endophthalmitis is most common (1 in 1000) following intraocular surgery such as cataract, cornea transplantation and glaucoma filtering. Prompt diagnosis of endopthalmitis is essential. Evaluation, in addition to a regular eye exam, may include a needle into the eye to check for infection or to inject antibiotics directly into the eye. Topical eye drops, oral or intravenous antibiotics may be prescribed. Steroids are sometimes utilized. If the infection is severe, a surgery called a "vitrectomy" may be performed to remove infectious material from the inside of the eye.  

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Vision Treatments & Technology

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