PMC4155899_01
Postoperative day 1 appearance.. Notes: (A) Fundus photography, right eye, demonstrating mildly hazy media with vascular sheathing and perivascular hemorrhages. (B) Spectral domain optical coherence tomography, right eye, demonstrating retinal thickening and irregular intraretinal precipitates. (C) Early-phase fluorescein angiography, right eye, demonstrating areas of blockage corresponding to areas of perivascular hemorrhage. (D) Late phase fluorescein angiography, right eye, revealing leakage from retinal vessels and from the optic disc.
opth-8-1649Fig1.jpg
PMC4155899_01_opth-8-1649Fig1.jpg
f1-opth-8-1649
Fundus examination showed mild vitreous cells with vascular sheathing and perivascular hemorrhages (Figure 1A). Spectral domain optical coherence tomography revealed retinal thickening and irregular intraretinal precipitates (Figure 1B). Fluorescein angiography demonstrated areas of blockage corresponding to the intraretinal hemorrhages and leakage from retinal vessels and from the optic disc (Figure 1C and D).
Postoperative day 4 appearance.. Notes: (A) Anterior segment photography, right eye, demonstrating improving hypopyon and retracting fibrin clot. (B) B-scan echography, right eye, demonstrating low-lying choroidal detachment.
opth-8-1649Fig2.jpg
PMC4155899_01_opth-8-1649Fig2.jpg
f2-opth-8-1649
Within days, the hypopyon diminished, the fibrin clot retracted (Figure 2A), and the choroidal detachment improved (Figure 2B).Vitreous cultures isolated S. caprae sensitive to vancomycin and levofloxacin.
Postoperative month 9 appearance.. Notes: (A) Fundus photography, right eye, demonstrating clear media and mottling of the retinal pigment epithelium. (B) Spectral domain optical coherence tomography, right eye, demonstrating an irregular retinal surface but intact ellipsoid layer.
opth-8-1649Fig3.jpg
PMC4155899_01_opth-8-1649Fig3.jpg
f3-opth-8-1649
Fundus examination revealed a clear vitreous cavity with mottling of the retinal pigment epithelium (Figure 3A). Spectral domain optical coherence tomography revealed an irregular retinal surface but an intact ellipsoid layer (Figure 3B).