Aim: To present a case report of remarkable visual improvement in an eye that had 23-gauge transconjunctival pars plana vitrectomy with intravitreal antibiotics injection following an acute post-cataract surgery endophthalmitis.
Case Report: A 53 year old woman presented to the Retina clinic of the Ispahani Islamia Eye Institute and Hospital, Dhaka, Bangladesh, with a 17-day history of small incision cataract surgery and a 5-day history of visual loss, pain and redness. Visual acuity was light perception. Further clinical examination and B-scan ultrasonography showed features in keeping with post-operative endophthalmitis. She then had 23-gauge transconjunctival pars plana vitrectomy with intravitreal antibiotics injection. Three weeks post-operative findings revealed a pin-hole visual acuity of 6/6 and marked reduction of inflammatory signs in the eye.
Conclusion: Pars plana vitrectomy is a viable option in the treatment of endophthalmitis. This surgical technique could improve the chances of visual improvement and globe preservation.