Infectious Diseases in Critical Care Medicine

(ff) #1

Disease External eye findings Fundoscopic findings


Invasive fungal infection
(disseminated
histoplasmosis and
candidiasis)


l Conjunctival suffusion
l Strabismus
l Corneal infiltrates
l Dacryocystitis
l Proptosis
l CN palsies

SL:
l Anterior uveitis (+/– hypopyon)

l Chorioretinitis
l Roth spots
l Vitreous opacities (“string of
pearls” appearance)
l Candidal endophthalmitis

Disease External eye findings Fundoscopic findings


Herpes zoster (VZV) l Unilateral conjunctivitis


l Blepharitis
l Scleritis
l Hutchinson’s sign
SL:
l Pseudodendritic keratitis
l Interstitial keratitis
l Uveitis
l Iritis

Figure 11 Pseudodendritic keratitis
(see color insert).

l Retinitis

Disease External eye findings Fundoscopic findings


Lyme disease l Scleritis


l Proptosis
l Follicular conjunctivitis
l Keratitis
l CN palsies (CN III, VI, VII)
l Eyelid edema
SL:
l Uveitis
l Iritis

l Papilledema
l Retinal detachment
l Optic neuritis
l Choroiditis
l Retinal vasculitis

Disease External eye findings Fundoscopic findings


Primary syphilis l Lid ulcer (chancre) l None


Secondary syphilis l Conjunctivitis


l Eyebrow loss/thinning
SL:
l Uveitis
l Interstitial keratitis
l Scleritis

l Optic neuritis
l Chorioretinitis
l Retinal vasculitis

71
Free download pdf