Atypical Presentation of Acute-Onset Endophthalmitis After Uncomplicated Pars Plana Vitrectomy

• Published in: Ophthalmic surgery, lasers & imaging Vol. 46; no. 3; pp. 393 - 395
• Main Authors: Reilly, Gayatri S, Garfinkel, Richard A, Melamud, Alexander
• Format: Journal Article
• Language: English
• Published: United States SLACK INCORPORATED 01.03.2015
• Subjects: Acute Disease; Aged; Critical care; Endophthalmitis - diagnosis; Endophthalmitis - microbiology; Epiretinal Membrane - surgery; Eye Enucleation; Eye Infections, Bacterial - diagnosis; Eye Infections, Bacterial - microbiology; Female; Fluorescein Angiography; Hemorrhage; Humans; Membranes; Pain management; Postoperative Complications; Retina; Retinal Hemorrhage - diagnosis; Retinal Hemorrhage - microbiology; Staphylococcal Infections - diagnosis; Staphylococcal Infections - microbiology; Staphylococcus epidermidis - isolation & purification; Surgery; Tomography, Optical Coherence; Visual Acuity; Vitrectomy; Vitreous Body - microbiology
• ISSN: 2325-8160; 2325-8179
• DOI: 10.3928/23258160-20150323-19

A 70-year-old woman presented with signs of acute-onset endophthalmitis within 24 hours of surgery, with retinal hemorrhages and vascular changes in the absence of pain or significant inflammation. She had undergone uncomplicated 25-gauge pars plana vitrectomy for epiretinal membrane with presenting visual acuity of 20/40– and significant distortion. Vitreous culture revealed A 70-year-old woman presented with signs of acute-onset endophthalmitis within 24 hours of surgery, with retinal hemorrhages and vascular changes in the absence of pain or significant inflammation. She had undergone uncomplicated 25-gauge pars plana vitrectomy for epiretinal membrane with presenting visual acuity of 20/40– and significant distortion. Vitreous culture revealed Staphylococcus epidermidis. Final visual acuity was no light perception with persistent pain, and the patient ultimately underwent enucleation. Although rarely, acute-onset postoperative endophthalmitis can present as retinal vasculitis with intraretinal hemorrhages and mild inflammation. [[ Ophthalmic Surg Lasers Imaging Retina . 2015;46:393–395.]