Ophthalmologic Manifestations of Escherichia Coli Follow-up

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

Further Outpatient Care

In patients with E coli, daily evaluation is initially indicated, including the following:

  • Repeated measurement of visual acuity, the size of the infiltrate, ulcer, and epithelial defect

  • Anterior chamber reaction

  • Intraocular pressure

  • Level of hypopyon

  • Fundus examination

In an impending or completed corneal perforation, consider a corneal transplant or patch graft.

Cyanoacrylate tissue glue may also work in a treated corneal ulcer.

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Inpatient & Outpatient Medications

The following may be needed:

  • Topical antibiotics

  • Cycloplegics

  • Topical steroids

  • Periocular antibiotics

  • Oral/intravenous antibiotics if needed

  • Antiemetics

  • Analgesics

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Deterrence/Prevention

Early detection and aggressive treatment are important.

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Complications

Complications may include the following:

  • Cataract formation

  • Corneal perforation

  • Glaucoma

  • Hyphema

  • Loss of vision

  • Retinal detachment

  • Possible need for enucleation

  • Meningitis

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Prognosis

Because of the aggressive nature of the disease, prognosis is poor unless aggressive and early treatment is initiated.

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