Hypopyon: Is-it Infective or Noninfective?

Ocul Immunol Inflamm. 2021 May 19;29(4):817-829. doi: 10.1080/09273948.2021.1922708. Epub 2021 Jul 13.

Abstract

Hypopyon usually corresponds to the sedimentation of white blood cells, and it signifies severe intraocular inflammation. This key clinical sign may occur in association with a wide variety of infectious, inflammatory, and neoplastic conditions that may be sight- and, occasionally, life-threatening. A careful history and thorough clinical examination are the cornerstones for orienting the differential diagnosis, identifying the causative agent, and initiating prompt and appropriate treatment. This review outlines the clinical characteristics and management of hypopyon in relation with the underlying causative infectious or noninfectious ocular or systemic diseases.

Keywords: Endophthalmitis; hypopyon; keratitis; pseudo-hypopyon; uveitis.

Publication types

  • Review

MeSH terms

  • Endophthalmitis / microbiology
  • Endophthalmitis / physiopathology*
  • Eye Infections, Bacterial / microbiology
  • Eye Infections, Bacterial / physiopathology*
  • Humans
  • Suppuration / physiopathology
  • Uveitis, Suppurative / microbiology
  • Uveitis, Suppurative / physiopathology*