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Late onset posttraumatic Propionibacterium acnes endophthalmitis
A M Abu El-Asrar1, S A Al-Obeidan, E A Yeboah
1Department of Ophthalmology College of Medicine, King Saud University, Riyadh--Saudi Arabia. abuasrar@KSU.edu.sa
European Journal of Ophthalmology
|October 28, 2004
Summary
Late onset endophthalmitis can occur months after eye trauma. Propionibacterium acnes was identified as the cause in this case, highlighting the need for its consideration in treatment.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Posttraumatic endophthalmitis is a severe intraocular infection following ocular trauma.
- Late onset endophthalmitis, occurring months or years after injury, poses diagnostic challenges.
Observation:
- A 28-year-old male presented with endophthalmitis 6 months post-penetrating ocular trauma.
- Intraocular inflammation and vision loss were the primary symptoms.
Findings:
- Pars plana lensectomy and vitrectomy with intravitreal antibiotics were performed.
- Anaerobic cultures of vitreous aspirate confirmed Propionibacterium acnes (P. acnes) infection.
- The patient achieved a best-corrected visual acuity of 20/60 with a quiet eye 7 months post-operatively.
Implications:
- This case underscores the significance of P. acnes in the differential diagnosis of late-onset posttraumatic endophthalmitis.
- Prompt diagnosis and appropriate antibiotic treatment are crucial for visual recovery in such cases.