[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 508
Citations 0
JAMA Ophthalmology Clinical Challenge
April 2016

Chronic Recurrent Pseudophakic Endophthalmitis

Author Affiliations
  • 1Vitreoretinal Service, Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City
JAMA Ophthalmol. 2016;134(4):455-456. doi:10.1001/jamaophthalmol.2015.3638

An immunocompetent woman in her 80s underwent uncomplicated cataract surgery in her right eye 4 months prior with best-corrected visual acuity (BCVA) of 20/25 OD. Two weeks prior to presentation, she reported a gradual increase in blurred vision with intermittent floaters in the right eye but denied pain or inciting events. Her BCVA was 20/50 OD. There were large keratic precipitates, 1+ anterior chamber cell and flare, and no hypopyon. Numerous white precipitates were noted on the anterior and posterior surface of a 3-piece posterior chamber intraocular lens (Figure, A). There were 2+ to 3+ anterior vitreous cells and a 2–disc area chorioretinal scar along the superior retinal arcades with extramacular drusen, but no areas of chorioretinitis (Figure, B). B-scan ultrasonography showed a posterior vitreous detachment and moderate vitreous opacities. The contralateral phakic eye showed similar drusen but was otherwise unremarkable.

First Page Preview View Large
First page PDF preview
First page PDF preview