Ophthalmologic Manifestations of Escherichia Coli Clinical Presentation

Updated: Feb 05, 2016
  • Author: Donny W Suh, MD, FAAP; Chief Editor: Hampton Roy, Sr, MD  more...
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Presentation

History

Past ocular history should be assessed, as follows:

  • Previous eye injury

  • Infection

  • Surgery

  • Diabetic eye disease

Past medical history should be assessed, as follows:

  • Diabetes

  • Immunocompromised host

  • Intravenous drug abuser

  • Urinary tract infection

Visual complaints should be assessed, as follows:

  • Decreased vision

  • Eyelid edema

  • Diplopia red eye

  • Mild-to-severe ocular pain

  • Photophobia

  • Discharge

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Physical

Signs are as follows:

  • Focal white opacity in the corneal stroma

  • Epithelial defect that stains fluorescent

  • Stroll edema and inflammation surrounding the infiltrate

  • Conjunctival injection

  • Corneal thinning

  • Anterior chamber reaction

  • Hypopyon (as is shown in the image below)

    Bacterial corneal ulcer with hypopyon. Bacterial corneal ulcer with hypopyon.
  • Mucopurulent discharge

  • Upper eyelid edema

  • Posterior synechiae

  • Hyphema

  • Glaucoma

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Causes

Exogenous causes are as follows:

  • Immunocompromised state

  • Irregular corneal epithelium

  • Trauma

  • Ocular surgery

Endogenous causes are as follows:

  • Urinary tract infection

  • Endocarditis

  • Meningitis

  • Systemic infection

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