Abstract

A 58-year-old female presented with diminution of vision and mild pain in the left eye ten days after cataract surgery elsewhere. She had a vision of light perception with inaccurate projection of rays with an IOP of 7 mm Hg. On anterior segment examination, there was corneal edema, an enlarged temporal corneal incision, a shallow anterior chamber with flare and exudates, sluggishly reacting pupil. However, no hypopyon was noted. As fundus could not be visualised, a B-scan was done that revealed multiple low to moderate echoes suggestive of vitreous exudates. She was planned for vitrectomy. To our surprise, a nucleus piece was discovered entangled in the exudates which led to modification of surgical plan. This video depicts the challenges faced and complications managed in a seemingly straightforward case of endophthalmitis.