Topic outline

  • Grand Rounds

    A patient presented to the BPEI emergency room on referral for iritis and uveitis in the right eye, approximately four weeks after she underwent a bilateral upper and lower blepharoplasty in the community. Examination revealed a visual acuity of hand motion in the affected eye, a conjunctival lesion suspicious for prior globe perforation and subsequent necrosis, and dense vitritis with loculations and membranes. The patient was diagnosed with acute endophthalmitis and a vitreous aspiration with intravitreal injection of antibiotics was performed. The patient subsequently underwent a pars plana vitrectomy with placement of silicone oil due to severe, non-improving symptoms. The vitreous culture resulted positive for Streptococcus pseudoporcinus. The patient’s vision improved but was limited by a full-thickness macular hole discovered post-operatively after the vitritis cleared. She is pending further surgical intervention for silicone oil removal, macular hole repair, and placement of an intraocular lens.

    Presentation Date: 06/10/2021
    Issue Date: 06/18/2021