Postoperative endophthalmitis.

Endophthalmitis has typically been described as occurring within the first 24-48 hours postoperatively and having a rapid progression. Classical signs and symptoms include intense ocular pain, decreased visual acuity, and exaggerated inflammatory response not commensurate with the level of the patient's recuperative process. This article presents a case wherein a patient, following cataract surgery and implant, developed endophthalmitis of a more indolent nature with a later onset of symptomatology and associated sequelae. Reasons this delayed onset of symptoms may occur are discussed. Etiological considerations, current treatment modalities, and management protocol are reviewed.