Endogenous Endophthalmitis from the Prospective of Integration Medicine

Abstract

Endophthalmitis is the acute suppurative inflammation in uvea and retina, with rapid onset, severe symptoms, and poor prognosis. Definite diagnosis and effective treatment on early stage play key roles in the prognosis. As endogenous endophthalmitis originates from suppurative inflammation in other parts of our body with hidden primary lesions, and is found less common in clinical practice, ophthalmologists might easily confuse it with uveitis caused by the immune disease, which not only causes a high misdiagnosis rate, but also delays the best opportunity for diagnosis and treatment. Endogenous endophthalmitis is a focus secondary to systemic infection, requiring ophthalmologists to strengthen the understanding of systemic infection and detailed history taking, to learn that whether the primary lesions exist or not? Where is the primary lesion? Which kind of pathogen causes the infection? How to apply the antibiotics? This section analyzes the cases of endogenous endophthalmitis in Tongren Hospital, and summarizes the experience in etiology, clinical manifestation, diagnosis points, treatment, prognosis, etc. of endogenous endophthalmitis. Ophthalmologists are supposed to take endogenous endophthalmitis from the perspective of integrative medicine, identify endogenous endophthalmitis through the history and pathogen examination, and clarify the cause and pathogens, and thus target the selection of antibiotics, taking the systemic inflammation control into account. Ophthalmologists should strengthen the understanding of endogenous endophthalmitis, make diagnosis at early stage and apply the effective drug timely, and improve the prognosis of endogenous endophthalmitis.