A 45-year-old man developed endophthalmitis after a radial keratotomy
(RK) enhancement. He developed severe intraocular inflammation, hypopy
on, and dense vitreous membranes 4 days after the enhancement surgery.
Cultures of the corneal wound yielded a heavy growth of Streptococcus
viridans. The inflammation subsided after treatment with intraocular,
intravenous, and topical antibiotics. The patient subsequently develo
ped a cataract and retinal detachment. This case demonstrates the risk
of endophthalmitis after RK enhancement.