Herpes simplex virus uveitis without corneal reactivation is more frequent than previously thought. Although herpes has been implicated as a cause of postoperative and endophthalmitis, it not reported acute endophthalmitis within the early period, specifically one week following cataract extraction. A 55-year-old man with vascularized irregular central disc-shaped stromal opacity complicated ca...

BACKGROUND Presence of subretinal abscess in endogenous endophthalmitis indicates a more severe form of infection. Available reports indicate variable response to standard treatment with systemic, intravitreal pharmacotherapy and vitreous surgery. There are no reports citing the possible role of intralesional antibiotic therapy in managing subretinal abscess. CASE PRESENTATION A 30 year old l...

We report a case of herpetic endophthalmitis following cataract surgery. A 65-year-old man underwent uneventful phacoemulsification and vision improved within the first few postoperative days. However, visual loss with an anterior chamber reaction of ++++ and a ++ vitreous cell were noted in the 4th postoperative week. Repeated intravitreal injection of vancomycin and ceftriaxone, pars plana vi...

We appreciate the comments by Hui et al. (3) concerning our article (1). We agree about the potential benefits of repeated intravitreal injections of antibiotics. Intravitreal antibiotics have become part of the standard treatment for endophthalmitis. The current antibiotic treatment for acute-onset bacterial endophthalmitis includes vancomycin for gram-positive coverage and either ceftazidime ...

Fungal endophthalmitis is a rare condition often associated with poor prognosis. We present a case of postoperative acute fungal endophthalmitis caused by the yeast-like fungus Stephanoascus ciferrii (Candida ciferrii). The fungus was resistant to fluconazole, voriconazole, and amphotericin B but susceptible to caspofungin. Because the degree of vitreal penetration of caspofungin after its intr...

We report a positive outcome of postcataract endophthalmitis caused by Enterobacter cloacae, which has previously resulted in poor outcomes in endophthalmitis. A 67-year-old man underwent uncomplicated cataract surgery. On the morning of postoperative day (POD) #1, he had significant anterior chamber inflammation without pain, hypopyon, or vitritis but then rapidly developed hypopyon and worsen...

Acute-onset postoperative endophthalmitis is a rare but vision-threatening complication of cataract surgery. The incidence rate varies substantially in the literature but is generally reported in the range of 0.03% to 0.2%. In the current issue of Ophthalmology, Creuzot-Garcher et al report a retrospective series of 6 371 242 phacoemulsification surgeries in which the rate of endophthalmitis de...

Purpose To raise awareness of a possible association between continuous positive airway pressure (CPAP) devices and postoperative bleb-related infection. Observations A 57-year old patient on CPAP presented with unilateral bleb-associated endophthalmitis 32 months after routine ExPress Trabeculectomy with mitomycin C. The offending organism, Streptococcus mitis, is a nonmotile and generally n...