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  Vol. 121 No. 4, April 2003 TABLE OF CONTENTS
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  Clinicopathologic Reports, Case Reports, and Small Case Series
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Endogenous Endophthalmitis After Routine Dental Cleaning

Arch Ophthalmol. 2003;121:576-577.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hematogenous dissemination of microorganisms to the eye is an uncommon cause of endophthalmitis. Studies1-2 have reported that it accounts for 2% to 8% of all forms of endophthalmitis. For patients with symptoms of uveitis who have a history of systemic or focal infections or evidence of an immunocompromised state, endogenous endophthalmitis falls readily into the differential diagnosis. However, in an immunocompetent individual without evidence of systemic infection, the diagnosis requires a high index of suspicion.

Report of a Case

A 48-year-old woman underwent a routine dental cleaning before development of eye symptoms. She had no history of gingival disease or cavity fillings. At initial examination 10 days later, she had sharp pain and photophobia in the right eye. She had no significant ocular history. Her medical history was remarkable for hypertension, asthma, osteoporosis, and fibromyalgia.

On examination, corrected visual acuity was 20/200 OD and 20/20 OS. Intraocular pressures were 21 and 19 mm Hg, . . . [Full Text of this Article]


Comment
Corresponding author and reprints: Manju L. Subramanian, MD, Ophthalmic Consultants of Boston, 50 Staniford St, Boston, MA 02114.



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Actinomyces israelii endogenous endophthalmitis
Milman et al.
Br. J. Ophthalmol. 2008;92:427-428.
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