Fig. 39. A case of endophthalmitis following cataract extraction. A. An area of hypopyon inferiorly and a suture line secured with 8/0 silk sutures superiorly can be easily identified. The case is from the era of intracapsular cataract surgery, however, the risk of infection remains with all types of more recent procedures. B. In the histologic section an vitreous abscess in present. The lytic nature of bacterial infections has caused extensive gaping of the original limbal wound allowing herniation of inflamed intraocular tissue into the subconjunctival space. The retina is completely detached and necrotic. (Hematoxylin-eosin stain; × 5.) |