Endophthalmitis associated with extrusion of a ganciclovir implant.

PURPOSE: To report a case of endophthalmitis with associated scleral defect after intravitreal positioning of a ganciclovir implant.

METHOD: Interventional case report. A 39-year-old woman developed acute endophthalmitis 1 month after insertion of a ganciclovir implant. The eye was enucleated.

RESULTS

Pathologic examination of the enucleated globe revealed an intrascleral location of the implant suture tab and a vitreous abscess.

CONCLUSION

Intraocular infection resulted from a scleral gap containing a foreign body (surgical implant). Appropriate surgical techniques should minimize the risk of ganciclovir implant extrusion.