[Chronic postoperative endophthalmitis]

P Svozílková1, E Ríhová, M Brichová

  • 1Ocní klinika VFN a 1. LF UK, Praha. psvoz@lf1.cuni.cz

Abstract

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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