THE clinical and histopathological features of exogenous intra-ocular fungus infections have recently been the subject of a review (Fine and Zimmerman, 1959) based upon cases filed in the Registry of Ophthalmic Pathology, special attention being directed to those which appeared as complications of intra- ocular surgery. As a result there emerged a rather distinctive clinico-pathological picture: in contrast with other post-traumatic infections, mycotic endophthalmitis develops not immediately, but after a latent period of several days to many months. Its initial symptoms may appear suddenly but the subsequent evolution of the endophthalmitis is slowly progressive. Typically there is a relatively well-localized abscess in the anterior segment and Jight projection remains good for many weeks. Treatment with corticosteroid and antibacterial preparations often seems to be beneficial, but only for brief periods, after which symptoms return, the disease progresses, and enucleation is required. The ocular pain which this disease produces is believed to be the result of the inflammatory reaction itself for there is rarely a secondary glaucoma.
No takes yet. Share an insight, caveat, or question.
Fine et al. (1959) studied this question.