Background/purpose: The aim of this report was to present the details of a case of culture-positive endophthalmitis in a silicone oil-filled eye.
Methods: This report includes the description of the preoperative, intraoperative, and postoperative findings of the case.
Patient: A 73-year-old male patient presented to our emergency department with complaints and symptoms indicative of acute postvitrectomy endophthalmitis.
Results: Aqueous, silicone oil, and vitreous washout samples tested positive for Streptococcus pneumoniae after a culture test.
Conclusion: Culture-positive endophthalmitis in a silicone oil-filled eye has rarely been described in literature. The reported cases were culture-negative cases, possibly because they were cases of acute inflammatory reactions to silicone oil. In the present case, an otherwise healthy patient developed acute endophthalmitis after pars plana vitrectomy plus silicone oil tamponade. The case was successfully managed with conventional silicone oil removal, antibiotic injection, and silicone oil reinjection.