Haemophilus aphrophilus Endophthalmitis Associated With a Filtering Bleb

Abstract

Haemophilus is an extremely rare cause of endophthalmitis in the immediate postoperative period, but it is a well-established causative agent of late-onset endophthalmitis associated with either intentional or inadvertent filtering blebs. 1,2 To our knowledge, this is the first reported case of endophthalmitis due to Haemophilus aphrophilus in a patient with an inadvertent bleb following cataract extraction. Report of a Case. —A 51-year-old white man presented with a 5-day history of a red, painful right eye associated with decreased visual acuity of approximately 48 hours' duration. His ocular history was significant for an uneventful extracapsular cataract extraction in the right eye with a posterior chamber intraocular lens placement 2 years earlier. He denied any recent history of fever, chills, local eye trauma, cardiac valvular disease, recent sinusitis, or oral soft-tissue infections. Visual acuity was light perception in the right eye and 20/20 OS. There was no evidence of an afferent