Atypical endophthalmitis after intraocular collamer lens implantation

J Cataract Refract Surg. 2018 Dec;44(12):1521-1523. doi: 10.1016/j.jcrs.2018.08.010. Epub 2018 Sep 28.


Unilateral endophthalmitis occurred after bilateral immediately sequential intraocular collamer lens (Visian Implantable Collamer Lens) implantation for the correction of myopic astigmatism in a 49-year-old woman. The surgeries and initial recovery were unremarkable. However, after 3 days, the patient noticed increasing blurring of vision in the left eye and presented to our clinic. The anterior segment of this eye was quiet, while the vitreous cavity was densely infiltrated. Immediate explantation of the corrective lens and vitrectomy combined with intravitreal antibiotic injection were performed. Staphylococcus epidermidis was detected in the vitreous tap and treated with intravenous antibiotics, antibiotic eyedrops, and parabulbar injections of dexamethasone. The corrected distance visual acuity recovered to 20/20 over a 6-month period. However, a cataract developed thereafter.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Endophthalmitis / diagnosis
  • Endophthalmitis / etiology*
  • Endophthalmitis / microbiology
  • Eye Infections, Bacterial / diagnosis
  • Eye Infections, Bacterial / etiology*
  • Eye Infections, Bacterial / microbiology
  • Female
  • Humans
  • Lenses, Intraocular / adverse effects*
  • Middle Aged
  • Myopia / surgery*
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / etiology*
  • Staphylococcal Infections / microbiology
  • Staphylococcus epidermidis / isolation & purification*
  • Visual Acuity
  • Vitrectomy / adverse effects*