Dr. ANJALI SAIGHAL

Abstract

A 52 year old healthy female patient presented with painless diminution of vision to hand movements in her right eye more than 4 years after undergoing uneventful cataract surgery in that eye. Regular follow up visits in the intervening years showed normal findings though posterior capsular opacification had occurred in both eyes last visit six months ago. Current examination revealed two thick triangular plaques on the posterior capsule behind the intraocular lens right eye with no anterior chamber inflammation. Ultrasound report was a single undulating membrane in the vitreous. The patient was treated with intravitreal and in the bag Vancomycin 1 mg. Cultures of fluid from intracapsular bag revealed Staphylococcus Hominis ; sensitive to Vancomycin. Surgical intervention is planned as there is no improvement in vision. Chronic endophthalmitis occurs after 6 months in less than 12% cases. Staphylococcus Hominis is very rarely reported in the literature as is this late a presentation.