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A Journal on Ophthalmology
Minerva Oftalmologica 2010 June;52(2):93-100
language: English, Italian
Standardized echography: the actual role in the diagnosis of endophthalmitis
Breve M. A., D’Amico G., Rossi C., Caiazzo A., Piedepalumbo M.
Dipartimento Assistenziale di Oftalmologia, Università degli Studi di Napoli, Federico II, Napoli, Italia
Endophthalmitis are eyeball infections characterized by reddening, dolor, visual decreasing, hypopyon and sometimes purulent mucus secretion. They could be endogen, for blood diffusion of the pathogen, or usually, external into post-surgery or traumatic eye trauma. Ophthalmoscopy examinations in endophthalmitis could be impossible due to the presence of important exudations in anterior chamber, a positive Tyndall, a gelatinous aqueous humour, an excessive fibrin exudation in anterior chamber and posterior synechia. The echography examination in A-B scan affords instead estimating the vitreous body interest, the state of the retina, the eventual presence of hemorrhage of vitreous, the presence or absence of intraocular foreign bodies and following course in the time to prescind from the conditions of visibility of fundus. In this case, standardized A-scan echography with standard amplification of echographic signal (T) and with increase value of amplification (T+9db) will measure the grade of cellular infiltration of vitreous body defining the grade and intensity of the illness.Besides the standardized echography permit to value macular region and optical nerve, showing an potential interest by the inflammatory process. Through the presentation of the 2 clinicians cases we intend to emphasize the importance of the echography standardized in the Endophthalmitis.