Original ArticlesRECURRENT PSEUDOMONAS AERUGINOSA ENDOPHTHALMITISGupta, Seema MD; Emerson, Geoffrey G. MD, PhD; Flaxel, Christina J. MDAuthor Information From the Casey Eye Institute, Oregon Health & Science University, Portland, Oregon. Dr. Emerson is now in private practice in St. Paul, Minnesota. Supported, in part, by an unrestricted grant to Casey Eye Institute from Research to Prevent Blindness, New York, New York. No authors have any proprietary interest in materials discussed herein. Reprint requests: Christina J. Flaxel, MD, 3375 SW Terwilliger Blvd., Portland, OR 97239-4197; e-mail: [email protected] Retinal Cases & Brief Reports: Winter 2010 - Volume 4 - Issue 1 - p 11-13 doi: 10.1097/ICB.0b013e31818c5e1b Buy Metrics AbstractIn Brief Purpose: To report a case of recurrent endophthalmitis resulting from Pseudomonas aeruginosa requiring removal of the intraocular lens and lens capsule to eradicate the infection. Methods: Evaluation for management of presumed endophthalmitis after uneventful cataract surgery with intraocular lens implantation. Results: Eventual resolution of P. aeruginosa intraocular infection after pars plana vitrectomy 3 times and removal of the intraocular lens and lens capsule with final visual acuity of 20/30. Conclusion: P. aeruginosa is an aggressive organism that often presents in a fulminant manner, requiring vitrectomy and repeated injections of intravitreal antibiotics. Rarely, the organism can be harbored in the lens capsule, requiring intraocular lens explantation and capsule removal for complete eradication and best visual recovery. An 80-year-old man contracted endophthalmitis due to Pseudomonas aeruginosa after cataract surgery and intraocular lens implantation. Infection recurred after antibiotic therapy. Disease eventually resolved after three pars plana vitrectomies and removal of the intraocular lens and lens capsule. Final visual acuity was 20/30. © 2010 Ophthalmic Communications Society, Inc.