To report a rare case of endophthalmitis after lower lid blepharoplasty

A 22-year- old man referred to the emergency ward because of visioun loss in his right eye five days after bilateral lower lid blepharoplasty, his right eye showed cilliary injection , cornea showed mild edema and anterior chamber showed 4+ cells and faint hypopyon in slit lamp examination, There was severe chemosis ,without any site of laceration . However fundus examination showed severe fibrinous reaction and vitritis.

Based on the diagnosis of undetermined uveitis the patient underwent diagnostic vitrectomy, interestingly there was a site of laceration in the posterior fundus, leading to peritomy and its repair associated with severe vitreous inflammation and retinal necrosis and vasculitis. The patient underwent pars plana vitrectomy associated with intravitreal antibiotic injection and silicone oil injection; the culture of the vitreous documented staphylococcus aurous in the vitreous sample.

Although rare, doing blepharoplasty a common cosmetic in unexperienced hand could lead to a severe devastating intra ocular complication.