title: Hypopyon and pseudoendophthalmitis 1 month after vitrectomy for retinal detachment with subretinal hemorrhage.
abstract: The presence of postoperative hypopyon warrants consideration of the diagnosis of infectious endophthalmitis, but other etiologies may mimic a hypopyon. The differential diagnosis of a postoperative hypopyon must include causes of pseudoendophthalmitis to avoid unnecessary and invasive interventions. The context and clinical presentation are the most important factors allowing such a distinction. A patient with a hypopyon and elevated intraocular pressure presented 1 month after pars plana vitrectomy for a hemorrhagic retinal detachment. Slit lamp examination disclosed khaki-colored cells layered in the anterior chamber, and a diagnosis of pseudoendophthalmitis was made. The hypopyon resolved without intervention.
authors.affiliation: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
authors.forename: Zayna
authors.initials: Z
authors.lastname: Nahas
authors.forename: Gary
authors.initials: G
authors.lastname: Shienbaum
authors.forename: William E
authors.initials: WE
authors.lastname: Smiddy
authors.forename: Harry W
authors.initials: HW
authors.lastname: Flynn
mesh_terms: D000328:Adult; D000867:Anterior Chamber; D009877:Endophthalmitis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery*; D012166:Retinal Hemorrhage / Q000601:surgery*; D014821:Vitrectomy