Endophthalmitis

Intraocular bacterial infection that may complicate any penetrating injury or ophthalmic surgery. Generally presents 3–5 days after injury or surgery.

Presentation

Acute onset of pain, redness, floaters, photophobia, blurred vision.

Examination

• Pus in the anterior chamber (hypopyon)
• Cloudy anterior chamber

Management

Urgent ophthalmology referral for intravitreal antibiotic injections.

See penetrating-eye-injury.md for the broader post-trauma emergency picture and red-eye.md for the wider unilateral red-eye differential (endophthalmitis is one of the warning-feature causes there).