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        Endophthalmitis

        Shwu-Jiuan Sheu 대한안과학회 2017 Korean Journal of Ophthalmology Vol.31 No.4

        Endophthalmitis is a rare but severe form of ocular inflammation due to infection of the intraocular cavity that canlead to irreversible visual loss if not treated properly and timely. It can be classified as exogenous or endogenousbased on the transmission route of the infectious source. Exogenous endophthalmitis occurs when infecting organismsgain entry into the eye via direct inoculation, while endogenous endophthalmitis occurs when infectiousagents hematogenously spread into the eye from a distant focus of infection. The diagnosis of endophthalmitisdepends mostly on the clinical findings on ophthalmological examination. Delayed diagnosis of endogenousendophthalmitis can lead to not only visual loss, but also increased risk of mortality. Since ocular and systemicsymptoms of endophthalmitis are usually non-specific, early diagnosis relies on the alertness of clinicians. Earlydiagnosis and proper treatment are keys to saving the eye. Following advances in vitreoretinal pharmacotherapyand surgical technology, early surgical intervention is the current trend in the management of endophthalmitis.

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