Managing delayed onset postoperative Pseudomonas aeruginosa endophthalmitis

A 58 year old female patient presented with diminution of vision in left eye a week after uneventful manual small incision cataract surgery. Examination showed ciliary congestion, hypopyon and exudative papillary membrane. AC wash was done and intravitreal antibiotics were given. Vitreous tap revealed Pseudomons aeruginosa, sensitive to ciprofloxacin amikacin, ceftazidime. Endophthalmitis due to a potentially virulent organism improved on appropriate intravitreal antibiotics, not requiring any vitrectomy. Prompt treatment with appropriate intravitreal antibiotics is the most important step in the management of postoperative endophthalmitis.