Penetrating Keratoplasty and Open Sky Vitrectomy for Endophthalmitis

Drs. Rehan Hussain, Harry Flynn Jr. and colleagues present a case of endophthalmitis secondary to a pseudomonas corneal ulcer. The patient received penetrating keratoplasty, open sky vitrectomy and intravitreal antibiotics. The surgeons manipulated the infusion and increased the pressure to promote anterior prolapse of vitreous, eliminating the need for a temporary keratoprosthesis and pars plana vitrectomy. Two months later, the infection was resolved and the patient's vision improved from light perception to 7/200.

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