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.
Chin EK, Almeida DRP, Mahajan VB. Chronic Recurrent Pseudophakic Endophthalmitis. JAMA Ophthalmol. 2016;134(4):455-456. doi:10.1001/jamaophthalmol.2015.3638