Presumed Capsular-Bag-Origin Endophthalmitis following Anterior Vitrectomy for Posterior Capsule Opacification in a Patient with Proliferative Diabetic Retinopathy: A Case Report.
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Abstract
Introduction: Chronic postoperative endophthalmitis is a rare but serious complication following intraocular surgery. We report a unique case of presumed capsular-bag-origin endophthalmitis that developed after anterior vitrectomy for posterior capsule opacification in a patient with proliferative diabetic retinopathy.
Case presentation: A patient with proliferative diabetic retinopathy underwent uncomplicated cataract surgery, followed by anterior vitrectomy for posterior capsule opacification. One month later, the patient experienced a marked decrease in visual acuity accompanied by dense vitreous opacity, despite minimal anterior chamber inflammation. Vitrectomy revealed inflammatory changes predominantly localized to the capsular bag. Based on the delayed onset, clinical course, and intraoperative findings, capsular-bag-origin endophthalmitis was suspected. Surgical intervention combined with appropriate antimicrobial therapy resulted in clinical improvement.
Conclusion: Capsular-bag-origin endophthalmitis may present with limited anterior segment inflammation and delayed onset after anterior vitrectomy. This rare entity should be considered in patients with unexplained vitreous opacity following intraocular surgery, particularly in those with proliferative diabetic retinopathy.
期刊介绍：
This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.
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