Purpose: To report a case of recurrent endophthalmitis resulting from Pseudomonas aeruginosa requiring removal of the intraocular lens and lens capsule to eradicate the infection. Methods: Evaluation for management of presumed endophthalmitis after uneventful cataract surgery with intraocular lens implantation. Results: Eventual resolution of P. aeruginosa intraocular infection after pars plana vitrectomy 3 times and removal of the intraocular lens and lens capsule with final visual acuity of 20/30. Conclusion: P. aeruginosa is an aggressive organism that often presents in a fulminant manner, requiring vitrectomy and repeated injections of intravitreal antibiotics. Rarely, the organism can be harbored in the lens capsule, requiring intraocular lens explantation and capsule removal for complete eradication and best visual recovery.
- IOL explantation
- Pseudomonas aeruginosa
- Recurrent pars plana vitrectomy
ASJC Scopus subject areas