Fig. 4.

A proposed management of patients with endogenous endophthalmitis. Signs such as poor visual acuity (≤ perception of light), large hypopyon, and choroidal abscess make the diagnosis of endophthalmitis very likely. In a neonate with white reflex, endophthalmitis (along with other considerations such as malignancy) must be kept as a possibility in the differential diagnosis. Sight-threatening lesions involving the fovea, optic nerve head, cornea, limbus, or sclera may require prompt surgical management. APD afferent pupillary defect, V _A visual acuity, LP light perception