Equis ISSN 2398-2977

Eye: panophthalmitis

Synonym(s): Endophthalmitis

Contributor(s): Keith Barnett, Dennis E Brooks, Graham Munroe

Introduction

  • Incidence: rare condition.
  • Cause: usually post perforation or penetration of the globe . Can be secondary to systemic infection.
  • Signs: severe ocular pain, episcleral/conjunctival congestion, edema of the anterior segment, pyrexia, opaque intraocular media and prominent third eyelid.
  • Diagnosis: intraocular paracentesis is vital for diagnosis.
  • Treatment: antibiotics, systemically or intraocular, is usually ineffective; exenteration   Eyeball: exenteration  may be essential to stop CNS spread.
  • Prognosis: fair.

Pathogenesis

Etiology

  • Penetration of globe by foreign bodies or trauma.
  • Perforation of the cornea.

Pathophysiology

  • Panophthalmitis is a severe intraocular inflammation involving everything within the sclera (endophthalmitis) plus the sclera, Tenon's capsule and the orbital tissues.
  • Usually seen as a potential complication of perforating infected corneal ulcers and penetrating ocular trauma.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Bistner S et al (1971) Traumatic panophthalmitis in a horse. Cornell Vet 61 (3), 415-422 PubMed.


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