Case Study 91 Endophthalmitis
AB is a 72-year-old man who underwent cataract surgery in the right eye and was seen in the office the next day for a postoperative checkup. The cataract was a stage 4 sclerotic nucleus, and phacoemulsification had been performed for a prolonged period of time because of the density of the nucleus. He complained of a mild aching pain during the night and blurry vision. Examination found visual acuity of 20/400 in the right eye with a moderate amount of corneal edema and 2 to 3+ cells and flare in the anterior chamber. The vitreous and fundus could not be well seen because of the anterior segment changes of corneal swelling and anterior chamber reaction. He was sent home and instructed to use topical antibiotic and steroid drops. He called later that day and stated that his symptoms were worse and he was concerned. He was brought back to the office, and the clinical findings were about the same with possibly a slight increase in the anterior chamber reaction.