Endophthalmitis After Intraocular Lens Exchange: The Role of Wound Leak

Acute-onset endophthalmitis after intraocular lens (IOL) exchange is a rare clinical entity. The following series describes two patients who presented with endophthalmitis and light perception vision following IOL exchange and were treated with pars plana vitrectomy and intravitreal antibiotics. Wound leak from the temporal clear corneal incision was noted in both patients. Immediate intravitreal antibiotics and pars plana vitrectomy led to a favorable outcome in one of the two patients.