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Ophthalmology
infectious conditions
endophthalmitis
A 72-year-old woman presents to an outpatient clinic for a follow-up visit three days after undergoing cataract removal in her left eye. She reports worsening left eye pain, increasing sensitivity to light, and significantly blurred vision since her last appointment. On physical examination, her left eye shows marked eyelid edema, significant scleral injection, chemosis, and a distinct layer of white cells (hypopyon) in the anterior chamber. Visual acuity in the affected eye is hand motion vision at 1 meter. Intraocular pressure is mildly elevated at 24 mmHg (normal range 10-21 mmHg). Given these findings, which initial management strategy is most appropriate, and what is a critical potential complication to monitor for?
| Lab Parameter | Value | Reference Range |
|---|---|---|
| Leukocyte count | 13.5 x 10^9/L | 4.0 - 11.0 x 10^9/L |
| C-reactive protein (CRP) | 35 mg/L | < 5 mg/L |
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