Endophthalmitis

• Facts:
  Infection within the eye, particularly the vitreous
  MC form is postoperative endophthalmitis (usually within 6 wks)
• History / PE:
  Hypopyon (pus in the eye)
  History of recent eye surgery
  Swollen eyelids and conjunctiva
  Corneal edema and infection
  Decreased visual acuity
  
• Diagnosis:
  Gram stain and culture vitreous
• Treatment:
  Intravitreal antibiotic injection
  Vitrectomy
• Differential Diagnosis:
  Uveitis (HLA B27 related conditions)
  Conjunctivitis (vision not affected)
  Corneal uceration
  Cavernous sinus thrombis