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Haemophilus is an extremely rare cause of endophthalmitis in the immediate postoperative period, but it is a well-established causative agent of late-onset endophthalmitis associated with either intentional or inadvertent filtering blebs.1,2 To our knowledge, this is the first reported case of endophthalmitis due to Haemophilus aphrophilus in a patient with an inadvertent bleb following cataract extraction.
Report of a Case.
—A 51-year-old white man presented with a 5-day history of a red, painful right eye associated with decreased visual acuity of approximately 48 hours' duration. His ocular history was significant for an uneventful extracapsular cataract extraction in the right eye with a posterior chamber intraocular lens placement 2 years earlier. He denied any recent history of fever, chills, local eye trauma, cardiac valvular disease, recent sinusitis, or oral soft-tissue infections.Visual acuity was light perception in the right eye and 20/20 OS. There was no evidence of an afferent
Alvarez O, Morales J, McCartney DL, May DR, Allison K. Haemophilus aphrophilus Endophthalmitis Associated With a Filtering Bleb. Arch Ophthalmol. 1991;109(5):618-620. doi:10.1001/archopht.1991.01080050024016