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Hypopyon

Authoring team

This is the presence of pus cells in the anterior chamber of the eye. This is managed as an ophthalmalogical emergency and requires urgent referral.

On examination there is a characteristic picture:

  • the eye is congested
  • there is a white/yellow fluid level of pus in the anterior chamber

It accompanies bacterial infection of the eye and severe iritis, seen in e.g. Behcet's disease.

There may be a recent history of:

  • the use of steroid drops to treat sore red eyes
  • immunosuppression

Topical steroids facilitate the intraocular growth of bacteria. For this reason topical steroids should normally be used with antibiotic cover.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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