title: Atypical presentation of acute-onset endophthalmitis after uncomplicated pars plana vitrectomy.
abstract: A 70-year-old woman presented with signs of acute-onset endophthalmitis within 24 hours of surgery, with retinal hemorrhages and vascular changes in the absence of pain or significant inflammation. She had undergone uncomplicated 25-gauge pars plana vitrectomy for epiretinal membrane with presenting visual acuity of 20/40- and significant distortion. Vitreous culture revealed Staphylococcus epidermidis. Final visual acuity was no light perception with persistent pain, and the patient ultimately underwent enucleation. Although rarely, acute-onset postoperative endophthalmitis can present as retinal vasculitis with intraretinal hemorrhages and mild inflammation.
authors: Gayatri S
authors: GS
authors: Reilly
authors: Richard A
authors: RA
authors: Garfinkel
authors: Alexander
authors: A
authors: Melamud
mesh_terms: D000208:Acute Disease; D000368:Aged; D009877:Endophthalmitis / Q000175:diagnosis* / Q000382:microbiology; D019773:Epiretinal Membrane / Q000601:surgery; D015353:Eye Enucleation; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D011183:Postoperative Complications; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000382:microbiology; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology