case_images: PMC11797077_01
case_images: Clinical findings of postoperative endophthalmitis in Case 1. (A) Anterior segment photograph showing dense vitreous opacity with hypopyon and fibrin membrane. (B) Intraoperative fundus photograph showing severe retinal hemorrhages and retinal vascular attenuation.
case_images: cureus-0017-00000077006-i01.jpg
case_images: PMC11797077_01_cureus-0017-00000077006-i01.jpg
case_images: FIG1
case_images: The fundus view was obscured due to vitreous opacity (Figure 1A). Emergency vitrectomy revealed vitreous opacities, fibrovascular membranes, and a retinal hemorrhage (Figure 1B).
case_images: Optical coherence tomography findings after vitrectomy in Case 1. (A) One week: CCT of 396 mum and CFT of 614 mum. (B) One month: CCT of 190 mum and CFT of 561 mum. (C) Two months: CCT of 192 mum and CFT of 534 mum. (D) Three months: CCT of 187 mum and CFT of 514 mum.. CCT: central choroidal thickness, CFT: central foveal thickness
case_images: cureus-0017-00000077006-i02.jpg
case_images: PMC11797077_01_cureus-0017-00000077006-i02.jpg
case_images: FIG2
case_images: OCT showed that central choroidal thickness (CCT) was 396 microm, central foveal thickness (CFT) was 614 microm (Figure 2A), and LSFG findings revealed that the CBF was 10.1 arbitrary units (AU). One month after surgery, the BCVA improved to 20/29. Fundus examination revealed improvement in retinal hemorrhage, vitreous opacities, and fibrovascular membranes. OCT revealed a reduction in CCT to 190 microm and CFT to 561 microm (Figure 2B), while LSFG findings showed an increase in CBF to 13.7 AU and MV to 63.2 AU (Figure 3B, Figure 4B). OCT showed a CCT of 192 microm and a CFT of 534 microm (Figure 2C), while LSFG indicated a CBF of 11.3 OCT showed a CCT of 187 microm and a CFT of 514 microm (Figure 2D), and LSFG findings indicated a CBF of 11.2 AU and an MV of 47.3 AU (Figure 3D, Figure 4D).
case_images: Laser speckle flowgraphy measurements of choroidal blood flow after vitrectomy in Case 1. (A) One week: 10.1 AU. (B) One month: 13.7 AU. (C) Two months: 11.3 AU. (D) Three months: 11.2 AU.
case_images: cureus-0017-00000077006-i03.jpg
case_images: PMC11797077_01_cureus-0017-00000077006-i03.jpg
case_images: FIG3
case_images: One month after surgery, the BCVA improved to 20/29. Fundus examination revealed improvement in retinal hemorrhage, vitreous opacities, and fibrovascular membranes. OCT revealed a reduction in CCT to 190 microm and CFT to 561 microm (Figure 2B), while LSFG findings showed an increase in CBF to 13.7 AU and MV to 63.2 AU (Figure 3B, Figure 4B). AU and an MV of 60.3 AU (Figure 3C, Figure 4C). At three months, BCVA was 20/25, with no significant changes in the fundus examination. OCT showed a CCT of 187 microm and a CFT of 514 microm (Figure 2D), and LSFG findings indicated a CBF of 11.2 AU and an MV of 47.3 AU (Figure 3D, Figure 4D).
case_images: Laser speckle flowgraphy measurements of retinal blood flow (mean blur rate of vessel: MV) after vitrectomy in Case 1. (A) One week: 29.9 AU. (B) One month: 63.2 AU. (C) Two months: 60.3 AU. (D) Three months: 47.3 AU.
case_images: cureus-0017-00000077006-i04.jpg
case_images: PMC11797077_01_cureus-0017-00000077006-i04.jpg
case_images: FIG4
case_images: Figure 4A). One month after surgery, the BCVA improved to 20/29. Fundus examination revealed improvement in retinal hemorrhage, vitreous opacities, and fibrovascular membranes. OCT revealed a reduction in CCT to 190 microm and CFT to 561 microm (Figure 2B), while LSFG findings showed an increase in CBF to 13.7 AU and MV to 63.2 AU (Figure 3B, Figure 4B). AU and an MV of 60.3 AU (Figure 3C, Figure 4C). At three months, BCVA was 20/25, with no significant changes in the fundus examination. OCT showed a CCT of 187 microm and a CFT of 514 microm (Figure 2D), and LSFG findings indicated a CBF of 11.2 AU and an MV of 47.3 AU (Figure 3D, Figure 4D).
case_images: PMC11797077_02
case_images: Clinical findings of postoperative endophthalmitis in Case 2. (A) Anterior segment photograph showing hypopyon and vitreous opacity. (B) Anterior segment photograph showing suture exposure from the previous intraocular lens fixation surgery, with mucus deposits observed around the exposed suture site. (C) Anterior segment photograph demonstrating significant anterior chamber inflammation, with residual vitreous prolapsed into the previous surgical wound at the side port. (D) Intraoperative fundus photograph during vitrectomy, showing retinal vascular leukocoria and retinal hemorrhage.
case_images: cureus-0017-00000077006-i05.jpg
case_images: PMC11797077_02_cureus-0017-00000077006-i05.jpg
case_images: FIG5
case_images: The fundus was opaque due to vitreous opacity (Figure 5A-5C). An emergency vitrectomy was performed, revealing vitreous opacity and retinal hemorrhage (Figure 5D).
case_images: Optical coherence tomography findings after vitrectomy in Case 2. (A) One week: CCT of 396 mum and CFT of 223 mum. (B) One month: CCT of 380 mum and CFT of 240 mum. (C) Two months: CCT of 331 mum and CFT of 221 mum. (D) Three months: CCT of 333 mum and CFT of 234 mum.. CCT: central choroidal thickness, CFT: central foveal thickness
case_images: cureus-0017-00000077006-i06.jpg
case_images: PMC11797077_02_cureus-0017-00000077006-i06.jpg
case_images: FIG6
case_images: OCT showed a CCT of 396 microm and a CFT of 223 microm (Figure 6A), while LSFG findings indicated a CBF of 9.7 AU and an MV of 24.1 AU (Figure 7A, Figure 8A). One month postoperatively, BCVA improved to 20/40 with improved fundus findings. OCT showed a CCT of 380 microm and a CFT of 240 microm (Figure 6B), while LSFG indicated a CBF at 9.9 AU and an MV at 26.3 AU (Figure 7B, Figure 8B). OCT showed a CCT of 331 microm and a CFT of 221 microm (Figure 6C), and LSFG indicated a CBF of 11.2 AU and an MV of 24.9 AU (Figure 7C, Figure 8C). OCT showed a CCT of 333 microm and a CFT of 234 microm (Figure 6D), and LSFG indicated a CBF of 11.4 AU and an MV of 31.4 AU (Figure 7D, Figure 8D).
case_images: Laser speckle flowgraphy measurements of choroidal blood flow after vitrectomy in Case 2. (A) One week: 9.7 AU. (B) One month: 9.9 AU. (C) Two months: 11.2 AU. (D) Three months: 11.4 AU.
case_images: cureus-0017-00000077006-i07.jpg
case_images: PMC11797077_02_cureus-0017-00000077006-i07.jpg
case_images: FIG7
case_images: OCT showed a CCT of 396 microm and a CFT of 223 microm (Figure 6A), while LSFG findings indicated a CBF of 9.7 AU and an MV of 24.1 AU (Figure 7A, Figure 8A). One month postoperatively, BCVA improved to 20/40 with improved fundus findings. OCT showed a CCT of 380 microm and a CFT of 240 microm (Figure 6B), while LSFG indicated a CBF at 9.9 AU and an MV at 26.3 AU (Figure 7B, Figure 8B). OCT showed a CCT of 331 microm and a CFT of 221 microm (Figure 6C), and LSFG indicated a CBF of 11.2 AU and an MV of 24.9 AU (Figure 7C, Figure 8C). OCT showed a CCT of 333 microm and a CFT of 234 microm (Figure 6D), and LSFG indicated a CBF of 11.4 AU and an MV of 31.4 AU (Figure 7D, Figure 8D).
case_images: Laser speckle flowgraphy measurements of retinal blood flow (mean blur rate of vessel: MV) after vitrectomy in Case 2. (A) One week: 24.1 AU. (B) One month: 26.3 AU. (C) Two months: 24.9 AU. (D) Three months: 31.4 AU.
case_images: cureus-0017-00000077006-i08.jpg
case_images: PMC11797077_02_cureus-0017-00000077006-i08.jpg
case_images: FIG8
case_images: OCT showed a CCT of 396 microm and a CFT of 223 microm (Figure 6A), while LSFG findings indicated a CBF of 9.7 AU and an MV of 24.1 AU (Figure 7A, Figure 8A). One month postoperatively, BCVA improved to 20/40 with improved fundus findings. OCT showed a CCT of 380 microm and a CFT of 240 microm (Figure 6B), while LSFG indicated a CBF at 9.9 AU and an MV at 26.3 AU (Figure 7B, Figure 8B). OCT showed a CCT of 331 microm and a CFT of 221 microm (Figure 6C), and LSFG indicated a CBF of 11.2 AU and an MV of 24.9 AU (Figure 7C, Figure 8C). OCT showed a CCT of 333 microm and a CFT of 234 microm (Figure 6D), and LSFG indicated a CBF of 11.4 AU and an MV of 31.4 AU (Figure 7D, Figure 8D).