Endophthalmitis after cataract extraction: a retrospective case study

A 43-year-old man was diagnosed as a case of near-mature senile cataract, chronic simple glaucoma, and pterygium both eyes. Pterygium shaving and extracapsular cataract extraction were done together. Thick aftercataract was diagnosed with moderate iridocyclitis on fourth postoperative day. Treatment was started with atropine and steroids, but without any relief. A second operation of curette evacuation of aftercataract was done to rule out and treat the presumed lens induced uveitis, but the condition further deteriorated. In next four days the eye had to be evacuated. On culture material, Staphylococcus epidermidis (albus) growth was detected. Keeping in mind the possibility of postoperative endophthalmitis from the very beginning, doing vitreous aspiration, using lens matter for culture-sensitivity in early stages, and starting of intraocular antibiotics might have helped to save the eye.