PUBLICATION EXCLUSIVE: Man experiences painless vision loss after combined DSAEK, cataract surgery

A 65-year-old Caucasian man was emergently referred to the retina department at the New England Eye Center for less than 24 hours of painless loss of vision in the right eye. He had undergone a combined Descemet’s stripping automated endothelial keratoplasty and cataract extraction in the right eye 6 days before presentation. His immediate postoperative period had been uncomplicated thus far.The day of presentation, he returned to his surgeon’s office and was immediately referred to our retina department with concern for endophthalmitis. He had no other complaints. He had been seeing well the previous day and had been using his postoperative drops as directed. His ocular history was significant for Fuchs’ dystrophy in both eyes. His medical history was significant only for hyperlipidemia. He was currently using topical ketorolac, ofloxacin, prednisolone and brimonidine in the right eye. His oral medications included pravastatin and aspirin. He did not use tobacco or alcohol, and he did not have known drug allergies.