Case #39 Hypopyon

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History

A 70 year old lady comes to the emergency room complaining of increasing pain, increasing redness, and decreasing vision over the past two days in her right eye.

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Question #1

What kind of cells are layered in the anterior chamber?

Question #2

What is the name of this condition?

Question #3

What is the differential diagnosis?

Question #4

What are some possible “masquerade” diseases that can also have layering of cells in the anterior chamber?

Question #5

If this lady had had cataract sugery five days prior to her presentation, what organisms might be involved and how should the patient be managed?

 

References

Grand MG: Endophthalmitis, In Modern Management of Ocular Diseases, Spoor TC, ed. Thorofare, Slack, 1985 pp 361-374.

Ostler HB, Dawson CR, Okumoto M: Color Atlas of Infectious and Inflammatory Disease of the External Eye. Baltimore, Urgan and Schwarzenberg, 1987; pp 140-147.

Ray FH: Ocular Differential Diagnosis. ed 3. Philadelphia, Lea and Febiger, 1984; pp 227.

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last updated: 10/10/2011