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Published on: February 6, 2021
[Chronic postoperative endophthalmitis]
P Svozílková1, E Ríhová, M Brichová
1Ocní klinika VFN a 1. LF UK, Praha. psvoz@lf1.cuni.cz
Purpose:
To evaluate our experience with the diagnosis and the treatment of chronic postoperative endophthalmitis.
Methods:
A retrospective study.
Results:
The authors present three cases of chronic postoperative endophthalmitis following cataract surgery. Propionibacterium species has been determined as the causative agent in two patients. All patients were men; the mean age was 75 years (from 73 to 78 years). The mean time period from the cataract operation to the onset of intraocular inflammatory signs was 5 months (from 2 to 9 months). Pars plana vitrectomy with intravitreal administration of antibiotics and intraocular lens explantation with total capsulectomy were performed. This treatment led to the reduction of the intraocular inflammatory reaction and to the improvement of the visual acuity.
Conclusion:
The effective treatment of chronic postoperative endophthalmitis caused by Propionibacterium species is a combined operation--intraocular lens explantation with total capsulectomy and pars plana vitrectomy with intravitreal administration of antibiotics.
Insights
Chronic postoperative endophthalmitis, often caused by Propionibacterium species, requires prompt treatment. A combined surgical approach including lens explantation and vitrectomy with antibiotics effectively manages this condition.
Area of Science:
- Ophthalmology
- Infectious Diseases
Context:
- Chronic postoperative endophthalmitis is a rare but serious complication following cataract surgery.
- Propionibacterium species are a common cause of this delayed-onset infection.
Purpose:
- To report on the diagnosis and treatment of chronic postoperative endophthalmitis.
- To evaluate the effectiveness of a combined surgical and antibiotic approach.
Summary:
- Three cases of chronic postoperative endophthalmitis following cataract surgery are presented.
- Propionibacterium species were identified in two cases, with symptom onset an average of 5 months post-surgery.
- Treatment involved pars plana vitrectomy, intravitreal antibiotics, intraocular lens explantation, and total capsulectomy.
Impact:
- This combined treatment strategy led to reduced intraocular inflammation and improved visual acuity in the affected patients.
- Highlights the importance of timely and aggressive intervention for Propionibacterium-induced endophthalmitis.
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