Скачать или смотреть Endophthalmitis Explained Conceptually 👁️ Ophthalmology | Dr G Bhanu Prakash

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Endophthalmitis Explained Conceptually 👁️ Ophthalmology | Dr G Bhanu Prakash

Endophthalmitis is a vision-threatening inflammatory condition involving the intraocular cavities—primarily the vitreous and aqueous humors—and is most commonly of infectious origin. It can be classified as exogenous, where infection enters the eye through surgery (especially post-cataract), trauma, or intravitreal injections, and endogenous, where hematogenous spread from a distant septic focus seeds the eye, commonly seen in immunocompromised patients. The most common organisms include Staphylococcus epidermidis, Staphylococcus aureus, and Pseudomonas in post-operative or post-traumatic cases, and Candida albicans in endogenous fungal endophthalmitis. Clinically, patients present with sudden onset of pain, marked decrease in vision, redness, photophobia, and lid swelling. Slit-lamp exam often reveals anterior chamber cells and flare, hypopyon, and vitritis on B-scan ultrasonography if the fundus is not visible. It is a medical emergency, and early intravitreal antibiotics (commonly vancomycin + ceftazidime), vitrectomy, and sometimes systemic therapy are required to salvage vision. Prophylactic intracameral antibiotics during cataract surgery have been shown to significantly reduce the risk. Recognizing early signs and acting promptly can mean the difference between recovery and irreversible blindness. This lecture by Dr G Bhanu Prakash breaks down the pathophysiology, clinical presentation, and treatment protocols of endophthalmitis with utmost conceptual clarity, making it an essential watch for all NEET PG, FMGE, INICET, and USMLE aspirants preparing for ophthalmology. 🔬🧠👁️🚨

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