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Robert A. Levine, MD; Douglas E. Williamson, MD

Arch Ophthalmol. 1970;83(1):59-60.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

AN ENDOPHTHALMITIS with hypopyon occurring one month after an uncomplicated intracapsular cataract extraction suggests a fungal infection. In the following case the typical features of a postoperative mycotic endophthalmitis were produced by an unsuspected metastatic neoplasm.

Report of a Case

Clinical History.

—A seemingly healthy 69-year-old white man had noted decreased vision. Ocular examination revealed bilateral cataracts that reduced his vision in each eye to 20/60. On successive weeks intracapsular cataract extractions were done. There were no complications and the eyes were healing nicely until one month postoperatively when the right eye suddenly developed a hypopyon. The fundus reflex was lost, confirming the clinical impression of an endophthalmitis. In spite of topical and systemic steroid therapy and antibiotics, the condition of the right eye deteriorated, and three months following surgery it was becoming phthisical. The vision in the asymptomatic left eye was correctable to 20/20. At about this time the . . . [Full Text PDF of this Article]

Author Affiliations
Washington, DC

From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington, DC. Dr. Levine is now at Goldenberg Eye Pathology Laboratory, Michael Reese Hospital and Medical Center, Chicago. Dr. Williamson's address is Venice Medical Center, Venice, Fla.

Footnotes
Submitted for publication Sept 4, 1969.

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

Reprint requests to Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington, DC.

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