PMC5652927_01
Right eye shows conjunctival injection, corneal edema with infiltrates at the superior corneal incision site, membrane formation around the IOL and a 2 mm hypopyon.. Abbreviation: IOL, intraocular lens.
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Slit-lamp biomicroscopy of the eye showed severe conjunctival injection, corneal edema, corneal infiltration at superior main incision, membrane formation around the IOL and a deep anterior chamber with a 2 mm hypopyon, which were thought to represent infectious endophthalmitis (Figure 1).
B-scan ultrasound of the right eye shows a significant amount of vitreous debris.
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B-scan ultrasonography demonstrated significant vitreous opacities (Figure 2).
Intraoperative view during vitrectomy.. Notes: (A) Vitreous opacities and exudative membranes (red arrow) were removed by vitreous cutter. (B) Retinal hemorrhages were found in all quadrants.
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During the vitrectomy, we saw severe vitreous opacities and a thick exudative membrane that covered the entire retina (Figure 3A). Retinal hemorrhages were noted in all quadrants (Figure 3B).
Culture of aspirated vitreous fluid shows growth of Streptococcus mitis (culture media: blood agar).
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Vitreous specimens obtained during vitrectomy were found to be positive for S. mitis (Figure 4).
Wide-field fundus photography of the right eye postoperatively demonstrates an attached retina under silicone oil tamponade and full panretinal photocoagulation treatment to all quadrants.
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Fundus examination revealed an attached retina with resolving vitreous haziness, complete silicone oil fill and 360  PRP marking (Figure 5).