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Case 2. (A) The patient's clinical condition, following 3 weeks of treatment with topical and oral antibiotics, with severe corneal infiltrate and hypopyon. (B) The patient's eye 4 months after initial presentation, with a clear corneal graft and a quiet eye.. Notes: The clinical result represents a combined approach of aggressive medical treatment with topical, oral, and intravitreal antibiotics, in conjunction with endoscopic pars plana vitrectomy, involving lensectomy and removal of sub-iris abscesses, as well as two penetrating keratoplasties.
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Two weeks later, the patient was referred to the Retina Service because of increased corneal infiltration and anterior segment inflammation with a new hypopyon (Figure 1A). Four months postoperatively, the eye had no signs of recurrent infection (Figure 1B), and the oral voriconazole was discontinued along with the topical antifungal medications.
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