Khalatyan A S
Research Institute of Eye Diseases, Moscow, Russia.
Vestn Oftalmol. 2020;136(4. Vyp. 2):258-264. doi: 10.17116/oftalma2020136042258.
Endophthalmitis is characterized by inflammation of intraocular fluids and tissues, which can lead to irreversible loss of vision if the disease is not treated timely and properly. Endophthalmitis can be classified as exogenous or endogenous depending on the route of infectious agent transmission. Exogenous endophthalmitis occurs when pathogens enter the eye through direct inoculation, while endogenous endophthalmitis develops when pathogens get into the eye through the hematogenous route from a distant infection focus. Classification of endophthalmitis helps determine the etiology and probable causative organisms of the disease. Diagnosis of endophthalmitis is based on clinical data. Early diagnosis and treatment are keys to preserving the eye. Best results are achieved by rapid initiation of an empirical broad-spectrum antimicrobial therapy.
眼内炎的特征是眼内液体和组织发生炎症，如果疾病未得到及时和恰当治疗，可能导致不可逆转的视力丧失。根据感染源的传播途径，眼内炎可分为外源性或内源性。当病原体通过直接接种进入眼睛时，发生外源性眼内炎；而当病原体从远处感染灶通过血行途径进入眼睛时，则发生内源性眼内炎。眼内炎的分类有助于确定疾病的病因和可能的致病生物。眼内炎的诊断基于临床数据。早期诊断和治疗是保护眼睛的关键。通过迅速开始经验性广谱抗菌治疗可取得最佳效果。
