Panophthalmitis
| Classification according to ICD-10 | |
|---|---|
| H44.0 | Purulent endophthalmitis |
| ICD-10 online (WHO version 2019) | |
A Panophthalmitis , often called panophthalmia or Pantophthalmie called, is a Augenvereiterung . The infection of the entire eye is the most dangerous disease of the eye. The germs leading to the infection can be very different in nature (see literature).
Panophthalmitis is a very rare but very serious disease that often results in complete loss of vision or even the entire eye. Surgical removal of the diseased eye can be done to preserve the other eye.
The etiology of panophthalmitis
The cause of suppuration in the eyes are usually serious injuries to the eye. Very different germs can trigger an infection in the eye. More rarely it is by surgery (usually by a cataract operation , that is, an operation of cataract ) gives. Even more rare are endogenous release, such as a sepsis (blood infection) or pyaemia (blood poisoning with multiple pathogen flocks).
therapy
Intensive local and systemic treatment is usually carried out, depending on the pathogen causing it. In the case of post-traumatic (after injuries) or post-operative (after operations) panophthalmitis, additional early surgical treatment ( vitrectomy ) is often performed. If the disease cannot be treated at an early stage, externalization or enucleation ( Exenteratio oculi or Exenteratio bulbi or Enucleatio bulbi ), i.e. the complete removal of the affected eyeball, is usually unavoidable in order to preserve the eyesight of the second eyeball.
In the past there have also been attempts to treat panophthalimitis by means of hyperbaric oxygenation (HBO), which is also a suitable method for gas fire pathogens . However, this procedure has not prevailed over the established methods.
See also
literature
- A. Barsam et al .: Panophthalmitis secondary to infection with Citrobacter koseri. In: Eye. 20/2006, pp. 1468-1470. PMID 16691260
- J. Biswas et al .: Panophthalmitis due to Aspergillus in an acquired immunodeficiency syndrome patient: clinicopathological study of a case. In: Indian journal of ophthalmology. 55/2007, pp. 239-240. PMID 17456953
- R. Chawla et al: Case report of tuberculous panophthalmitis. In: Medical science monitor: international medical journal of experimental and clinical research. 10/2004, pp. 57-59. PMID 15448600
- DC Schickner et al: Panophthalmitis due to clostridium septicum. In: American Journal of Ophthalmology. 137/2004, pp. 942-944. PMID 15126166
- KA Kriegmaier: Investigation of the microbial contamination of reusable, autoclavable hose systems for intraocular surgery. Dissertation . LMU Munich, 2005.
- I. Echler: Stenotrophomonas maltophilia induced endophthalmitis. Dissertation. LMU Munich, 2004
