A 68-year-old woman presented with a red and scratchy left eye 4 weeks after uneventful cataract surgery. On presentation, the corrected distance visual acuity (CDVA) was 20/25 in the affected eye; slitlamp examination revealed 2+ anterior chamber cells with keratic precipitates. No vitreous cells were noted. Topical prednisolone acetate was started. During the antiinflammatory therapy, a capsular plaque developed with persistent anterior chamber uveitis. An anterior chamber tap and intracameral injection of vancomycin were performed. The aqueous culture grew Corynebacterium species. Two additional anterior chamber washouts and intracameral injections of vancomycin were performed, which resulted in removal of the capsular plaque; however, the inflammation recurred. A pars plana vitrectomy with complete capsulectomy and removal of the posterior chamber intraocular lens (IOL) was eventually performed. A sulcus IOL was sutured secondarily, resulting in a CDVA of 20/30. Financial Disclosure: None of the authors has a financial or proprietary interest in any material or method mentioned.
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