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1. PANOPHTHALMITIS
R A A F I U L B A S H E E R

2. 1
2
3
4
5
6
Table of
Contents
• Introduction
• EVISCERATION
• ETIOLOGY
• CLINICAL FEATURES• SIGNS
• SYMPTOMS
• COMPLICATIONS
• TREATMENT
2

3. 1
• INTRODUCTION
• IT’STHE INTENSE PURULENT INFLAMMATION OF
THEWHOLE EYEBALL INCLUDINGTHETENON’S
CAPSULE
DEFINITION

4. 2
ETIOLOGY
• SAMEAS INFECTIVE BACTERIAL
ENDOPHTHALMITIS

5. INFECTIVE ENDOPHTHALMITIS
• PERFORATIING INJURIES
• PERFORATION OF INFECTED
CORNEAL ULCER
• POSTOPERATIVE INFECTIONS
FOLLOWING INTRAOCULAR
OPERATIONS
EXOGENOUS INFECTION
• VERY RARE
• ORBITAL CELLULITIS
• THROMBOPHLEBITIS
• INFECTED CORNEAL ULCER
SECONDARY INFECTIONS
• METASTATIC
ENDOPHTHALMITIS
• MAY OCCUR RARELY
THROUGH BLOODSTREAM
• CARIES TEETH
• GENERALISED SEPTICAEMIA
• PUERPERAL SEPSIS
ENDOGENOUS
ENDOPHTHALMITIS
MODE OF INFECTION

6. INFECTIVE ENDOPHTHALMITIS
• M.C.-GRAM POSITIVE COCCI
• Staphylococcus epidermidis
• Staphylococcus aureus
• OTHERS
• Streptococci
• Pseudomonas
• Pneumococcus
• Corynebacterium
• Propionibacterium acnes
• Actinomycetes
BACTERIAL ENDOPHTHALMITIS
• RARE
• CAUSATIVE ORGANISMS
• Aspergillus
• Fusarium
• Candida ,etc.
FUNGAL ENDOPHTHALMITIS
CAUSATIVE AGENTS

7. 3
CLINICAL FEATURES

8. SYMPTOMS
SEVERE OCCULAR
PAIN
&
HEADACHE
COMPLETE LOSS OF
VISION
PROFUSE WATERING
PURULENT
DISCHARGE
MARKED REDNESS
&
SWELLING OF EYES
MALAISE & FEVER

9. • SIGNS

10. LIDS
• MARKED ODEMA
• HYPERAEMIA
EYEBALL
• SLIGHTLY PROPSED
• OCCULAR MOVEMENTS
LIMITED AND PAINFUL
CORNEA
• CLOUDY
• ODEMATOUS
CONJUCTIVA
• MARKED CHEMOSIS
• CILIARY CONGESTION
• CONJUCTIVAL
CONGESTION
ANTERIOR
CHAMBER• FULL OF PUS

11. VISION
• COMPLETELY LOST
• NO PERCEPTION OF LIGHT
IOC
• MARKEDLY RAISED
GLOBE
PERFORATION
• MAY OCCUR AT LIMBUS
• PUS COMES OUT
• IOP FALLS
PANOPHTHALM

12. 4
COMPLICATIONS
ORBITAL CELLULITIS
01
CAVERNOUS SINUSTHROMBOSIS
02
MENINGITIS OR ENCEPHALITIS
03

13. 4
TREATMENT

14. 01
02
03
TREATMENT
• LITTLE HOPE FOR SAVING SUCH AN EYE
• PAIN &TOXEMIA LEND AN URGENCYTO IT’S REMOVAL
ANTI-
INFLAMMATORY &
ANALGESICS
• START IMMEDIATELY
• TO RELIEVE PAIN
BROAD
SPECTRUM
ANTIBIOTICS
• TO PREVENT FURTHER
• SPREAD OF INFECTION
EVISCERATION
• PERFORMEDTOAVOID
RISK OF INTRACRANIAL
DISSEMINATIONOF
INFECTION

15. 5
EVISCERATION
IT’STHE REMOVAL OFTHE CONTENTS OF
THE EYEBALL LEAVING BEHINDTHE
SCLERA
DEFINITION
• PANOPHTHALMITIS
• EXPULSIVECHOROIDAL HAEMORRHAGE
• BLEEDINGANTERIOR STAPHYLOMA
INDICATIONS

16. EVISCERATION SURGICAL PROCEDURE
• SEPARATION OF CONJUCTIVA &
TENON’S CAPSULE • REMOVAL OF CORNEA

17. EVISCERATION SURGICAL PROCEDURE
• REMOVAL OF INTRAOCULAR
CONTENTS
• SEPARATION OF EXTRAOCULAR
MUSCLES

18. EVISCERATION SURGICAL PROCEDURE
• REMOVAL OF SCLERA
• CLOSURE OFTENON’S CAPSULE &
CONJUCTIVA
• SUTURED HORIZONTALLY
• SUTUREDVERTICALLY

19. EVISCERATION SURGICAL TECHNIQUE

20. T H A N K Y O U !