Blindness due to empyema

Introduction Mostly due to inflammation of the eyeball, the spread of adjacent structural pus, the subconjunctival empyema caused by trauma and extraocular muscle infection, empyema invading the eyelid or the eyeball, etc., repeated eye lesions will gradually reduce vision And even lead to blindness.

Cause

The cause of empyema in the eyeball and blindness:

Mostly due to eyeball inflammation.

an examination

Related inspection

Ultrasound examination of the eyeball and eyelid ophthalmoscopy atropine inhibition GH test

Examination and diagnosis of empyema in the eyeball and blindness:

Suppurative ocular fasciitis eye pain, bulbar conjunctival edema, ocular protrusion and movement limitation are more serious than serous, even the eyeball is fixed; under the conjunctiva can accumulate pus, empyema in the eyelid or in the eyeball can cause intraorbital abscess or eye Endilitis; the number of white blood cells in the blood increases, and the blood sedimentation speeds up.

Differential diagnosis

Symptoms of empyema and blindness in the eyeball:

Lens protein escape: is a pre-symptomatic symptom of lens protein allergic glaucoma. Clinical manifestations vary, most patients present with moderate anterior chamber reaction, with KP on the corneal endothelium of the edema and on the anterior surface of the lens, in addition to low-grade vitreitis, pre-irisal adhesion or posterior adhesion formation and anterior chamber Residual lens material may be found. In the clinical examination of the ophthalmology, it is often difficult to diagnose lens hypersensitivity, and more can be confirmed by histopathological examination after eyeball removal.

Swelling lens cortical granules in the anterior chamber: common in lensic glaucoma, with a history of cataract surgery or a deep history of anterior chamber of the lens, the angle of the anterior chamber is still open, the room angle is still open, the aqueous humor is obvious, and the anterior chamber contains a large amount of swelling. Cortical granules contain a small amount of large macrophages and small white blood cells, showing visible adhesions around the iris.

Chalazion is a chronic inflammatory granuloma of the meibomian glands (lipogranuloma). It is formed on the basis of obstruction and lipid secretion retention on the duct of the meibomian gland discharge tube. Also known as meibomian gland cyst, Chinese medicine is called cytoplasmic nucleus. It is a chronic inflammatory mass formed by obstruction of the drainage duct of the meibomian gland and retention of glandular secretions in the tarsal plate. The disease is more common in children and adolescents, without major pain, does not affect vision, has a tendency to self-heal, and has a good prognosis.

Suppurative ocular fasciitis eye pain, bulbar conjunctival edema, ocular protrusion and movement limitation are more serious than serous, even the eyeball is fixed; under the conjunctiva can accumulate pus, empyema in the eyelid or in the eyeball can cause intraorbital abscess or eye Endilitis; the number of white blood cells in the blood increases, and the blood sedimentation speeds up.

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