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What Is Fungal Endophthalmitis?

Fungal endophthalmitis is a severe infection inside the eye caused by fungal organisms reaching the internal chambers. It often follows eye injury, surgery, or bloodstream spread from another body site. Symptoms include eye pain, redness, floaters, and sharp vision decline. Because the infection affects deep tissues, prompt treatment is important. Diagnosis focuses on identifying the organism and the extent of inflammation.

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What Is Fungal Endophthalmitis?

Fungal endophthalmitis is a severe infection inside the eye caused by fungal organisms reaching the internal chambers. It often follows eye injury, surgery, or bloodstream spread from another body site. Symptoms include eye pain, redness, floaters, and sharp vision decline. Because the infection affects deep tissues, prompt treatment is important. Diagnosis focuses on identifying the organism and the extent of inflammation.

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What Causes Fungal Endophthalmitis?

Fungal entry can occur through penetrating injuries, contaminated surgical sites, or systemic infections that spread to the eye. Yeasts such as Candida and molds like Aspergillus are common sources. People with weakened immune systems are more vulnerable. A detailed medical history helps identify likely exposure.

Symptoms Linked to Fungal Endophthalmitis

Common signs appear quickly or gradually.

  • Eye pain and redness.
  • Vision loss or sudden blur.
  • New floaters or hazy vision.
  • Swelling of the eyelids.
  • Light sensitivity.

How Is Fungal Endophthalmitis Diagnosed?

Doctors perform a dilated exam to assess internal inflammation. Ultrasound helps view deeper structures when clarity is poor. Samples of intraocular fluid are tested to identify the fungus. Blood tests may be used when systemic spread is suspected.

How Is Fungal Endophthalmitis Treated?

Treatment involves antifungal injections directly into the eye, oral medication, or both. Some cases require vitrectomy to remove infected material. Early intervention helps limit structural damage. Follow-up checks watch for recurrence.

Frequently Asked Questions About Fungal Endophthalmitis

Is it common?

No. It is rare but serious.

Can fungal endophthalmitis cause blindness?

It can if treatment is delayed or the infection is severe.

Does surgery increase risk?

Any intraocular surgery carries a small risk, though sterile technique keeps it low.

When should I seek care?

Seek urgent evaluation if pain and vision loss develop after surgery or injury.