PUPILLARY DILATION AS AN INDICATOR IN CLINICALLY DIFFERENTIATING BETWEEN SEVERE POST-OPERATIVE INFLAMMATION AND ENDOPHTHALMITIS
Journal Title: PARIPEX-Indian Journal of Research - Year 2017, Vol 6, Issue 1
Abstract
Acute severe inflammation post cataract surgery is an ophthalmic emergency and it is imperative to differentiate between an infectious and non- infectious etiology. Since acute severe post-operative endophthalmitis is a grave situation, a good and detailed clinical examination helps to differentiate it from other causes of sterile postoperative inflammation. A poor pupillary dilation in acute post-operative endophthalmitis is attributed to increased levels of bacterial toxins and prostaglandins in the anterior chamber. Thus a trial of mydriatics every 10 minutes for 2hrs to achieve a dilation of 06-08mm is clinically beneficial in differentiating TASS from infectious endophthalmitis in a large majority of cases and aids in instituting further therapy
Authors and Affiliations
Dr. Santosh Kumar, Dr Sagarika Patyal, Dr Vijay Sharma
Keywords
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