Case 45: Endophthalmitis After Open Globe Injury Repair
A 45-year-old man presented with a Zone I open globe injury of the right eye after being struck by a rock and had prompt surgical repair of the open globe injury within 7 h of his injury. Despite hospital admission for intravenous antibiotics, the patient developed high intraocular pressure post-operatively and a hypopyon was seen on post-operative day 3. He was promptly referred to a retinal specialist and underwent intravitreal tap and injection of antibiotics. Six months after the initial injury, the patient underwent cataract extraction with pupilloplasty. He obtained excellent visual recovery, with a visual acuity of 20/20 1 year after his initial presentation.