MR imaging findings of endophthalmitis
Document Type
Article
Abstract
Endophthalmitis is a sight-threatening ophthalmologic emergency. The clinical diagnosis is often challenging, and delayed diagnosis may exacerbate the poor visual prognosis. B-scan ultrasonography or spectral domain optical coherence tomography are imaging aids at the clinician's office. Cross-sectional imaging such as CT and particularly MRI can also help in the assessment of disease extent or complications. MR imaging findings are rarely described in the literature. Here, we discuss the spectrum of imaging findings of endophthalmitis and correlate them with key anatomic and pathophysiologic details of the globe. Early disease is often subtle on MR imaging with thick uveal enhancement, while advanced disease demonstrates retinal/choroidal detachment, vitreal exudates and peribulbar inflammation. Other noninfectious inflammatory diseases of the globe can show similar findings; however, MR diffusion-weighted images help identify infectious exudates and evaluate response to therapy. Knowledge of the spectrum of imaging findings of this disease is important for radiologists and help in the management decision process.
Medical Subject Headings
Diagnosis, Differential; Endophthalmitis (diagnostic imaging); Humans; Magnetic Resonance Imaging; Tomography, Optical Coherence; Tomography, X-Ray Computed
Publication Date
4-1-2016
Publication Title
The neuroradiology journal
E-ISSN
2385-1996
Volume
29
Issue
2
First Page
122
Last Page
9
PubMed ID
26915896
Digital Object Identifier (DOI)
10.1177/1971400916633480
Recommended Citation
Radhakrishnan, Rupa; Cornelius, Rebecca; Cunnane, Mary Beth; Golnik, Karl; and Morales, Humberto, "MR imaging findings of endophthalmitis" (2016). Neurology. 1587.
https://scholar.barrowneuro.org/neurology/1587