ABSTRACT

A 72-year-old man had cataract surgery about a week ago and developed a painful, red, congested eye, discharge, hypopyon and reduced red reflex. There was no fundus view.

H Endophthalmitis is a devastating infection causing a painful loss of vision after ocular surgery. It is mainly caused by lid commensal bacteria such as Staphlycoccus epidermidis (70 per cent). Clinical features include pain, decreased acuity, anterior chamber activity, hypopyon, fibrin, absent red reflex and vitritis.