Man presents with blurry vision and floaters after cataract surgery

A 73-year-old Caucasian man was referred to the uveitis service at Tufts Medical Center for persistent iritis of the right eye associated with cloudy vision and floaters. He underwent uncomplicated cataract surgery of the right eye approximately 10 months before his presentation. One month after surgery, he presented to his primary ophthalmologist with iritis and hypopyon of the operative eye. He was started on hourly prednisolone, fluorometholone ointment nightly and oral NSAIDs. The iritis reportedly resolved with steroid treatment but recurred after tapering steroids. He then had persistent iritis that did not improve despite restarting prednisolone drops.The patient had a medical history of hypertension and deep vein thrombosis. His ocular history was significant for bilateral cataract surgery about 10 months before presentation. He reported smoking a half pack of cigarettes daily and using alcohol occasionally. He denied any drug use. His medication list included warfarin, hydrochlorothiazide, lisinopril, atenolol and amlodipine. On review of systems, he denied any history of cold sores or shingles, and he complained of some arthritis in one ankle. He denied any breathing issues, skin problems or rashes.