Endophthalmitis following pediatric strabismus surgery with good visual result

A 3-year-old child underwent bilateral medial rectus recession for partially accommodative esotropia. No recognized complications occurred at the time of surgery. Six days following surgery, she presented with increasing ocular redness, pain, and discharge. The clinical picture was consistent with endophthalmitis. The patient underwent trans pars plana vitrectomy and lensectomy, combined with a course of intravitreal, periocular, and systemic antibiotics. Four years following surgery, after aggressive occlusion therapy for amblyopia, her visual acuity improved to 20/30 with aphakic correction.