Chronic inflammation after cataract surgery
raises different concerns. Subacute endophthalmitis
occurs at later than 6 weeks postoperatively in
0.02% of surgical cases and must always be considered,
particularly if associated with significant
vitritis or visible capsular plaque [32&&]. Although
systemic antibiotics and topical inflammatory medications
are used for treatment, the definitive treatment
frequently requires explantation of the lens
and capsule along with intraocular antibiotic
therapy. Infection with Propionibacterium acnes is
most common, although other organisms including
fungus have been reported [42,53,54].