Culture-Negative Endophthalmitis Following Implantation of a Phakic Implantable Collamer Lens.

Purpose: This work describes a case of (formerly ) endophthalmitis following a posterior-chamber, phakic, Implantable Collamer Lens (ICL) surgery.

Methods: A 34-year-old previously healthy woman presented with chronic unilateral iritis 8 months after bilateral ICL surgery. Original testing revealed no cause for the iritis with normal culture, serology, and autoimmune testing results.

Results: Follow-up revealed by polymerase chain reaction on vitrectomy samples. Complete resolution of symptoms was achieved following removal of the implant, lensectomy, and intravitreal antibiotics.

Conclusions: We believe this is the first reported case of postphakic ICL endophthalmitis. It highlights the utility of polymerase chain reaction in cases of chronic uveitis.