Management of low grade endophthalmitis by capsular bag irrigation

Aims: Further to topical or intravitreal antibiotics treatment of low grade endophthalmitis (lg-E) usually comprises either pars plana vitrectomy (ppv), capsulectomy or intraocular lens (IOL) removal. Sequestration of microorganisms in the capsular bag (CB) renders intensive antibiotics ineffective. Hence, removal or irrigation of the CB as nidus is curative. Here, we report on CB irrigation as an alternative procedure. Methods: We included 11 patients presenting with whitish precipitates in the CB, anterior chamber inflammation and vitreous body cells 2 days to 10 months after standard cataract surgery with IOL…