EYE Endophthalmitis MDM

patient presents with red eye and unilateral vision loss to the ___ eye.
Not diabetic, immunosuppressed, or IVDU. Patient is not a contact lens wearer.

Visual Acuity: markedly decrease in the affected eye.
Uveitis and hypopyon visualized on exam.
No evidence of globe rupture.
IOP: elevated.

ED Workup
: CBC, ESR
Consult: Ophthalmology for Cx and likely intravitreal ABX. Query extended course systemic broad spectrum ABX (vancomycin inpatient or cipro outpatient).


PEARLS

  • Endogenous
    • Spontaneous
  • Exogenous
    • Traumatic
  • Exam
    • Screen-Shot-2016-04-17-at-11.11.11-PM.png

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