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Related Experiment Video

Updated: Feb 25, 2026

Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
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Postoperative herpetic endophthalmitis-A case report.

Ya-Yun Yang1, Yuan-Chieh Lee1,2,3,4

  • 1Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.

Tzu Chi Medical Journal
|August 1, 2017
PubMed
Summary

Herpetic endophthalmitis can occur after cataract surgery. Prompt treatment with oral valacyclovir resolved inflammation when antibiotics failed.

Keywords:
EndophthalmitisHerpes simplexPostoperative endophthalmitis

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Area of Science:

  • Ophthalmology
  • Virology
  • Infectious Diseases

Background:

  • Cataract surgery, specifically phacoemulsification, is a common procedure.
  • Postoperative endophthalmitis is a rare but serious complication following intraocular surgery.

Observation:

  • A 65-year-old male developed severe intraocular inflammation (herpetic endophthalmitis) in the 4th week after uneventful cataract surgery.
  • Initial treatments including intravitreal antibiotics and pars plana vitrectomy were ineffective.
  • Cultures for bacterial, mycobacterial, and fungal pathogens were negative.

Findings:

  • Pathological examination showed mononuclear and multinuclear giant cells, suggesting an inflammatory process.
  • Serological tests confirmed active herpes simplex virus (HSV) infection with positive IgM and IgG antibodies.
  • Diagnosis of herpetic endophthalmitis was established.

Implications:

  • Herpetic endophthalmitis should be considered in the differential diagnosis of postoperative inflammation after cataract surgery, even with negative cultures.
  • Early diagnosis and appropriate antiviral therapy (oral valacyclovir) are crucial for successful management.
  • This case highlights the importance of considering viral etiologies in refractory postoperative endophthalmitis.