Suture removal-related endophthalmitis

A 12-year-old male patient presented with a sudden loss of vision, pain, and redness in the left eye (LE). He gave a history of suture removal in LE, 1 day before at another hospital. He gave a history of iridodialysis repair in LE 6 months back. Slit-lamp examination showed ciliary congestion hypopyon; ultrasound scan showed hyperechoic debris in mid and posterior vitreous suggestive of suture removal-related endophthalmitis. Pars plana vitrectomy, vitreous biopsy, and intravitreal antibiotics were done, but the patient’s eye could not be salvaged. This case emphasizes that endophthalmitis can occur as early as 24 h after a minor procedure like suture removal. Care should be taken while cutting sutures in outdoor settings and must be done under cover of 5% povidone iodine.