Recurrent pseudomonas aeruginosa endophthalmitis.
OBJECTIVE
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.


CONCLUSIONS
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.
From the Casey Eye Institute, Oregon Health & Science University, Portland, Oregon. Dr. Emerson is now in private practice in St. Paul, Minnesota.
Seema
S
Gupta
Geoffrey G
GG
Emerson
Christina J
CJ
Flaxel