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Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
[Low grade endophthalmitis caused by P. acnes : Case report]
S Fili1, T Schilde2, K Kontopoulou2
1St.-Johannes-Hospital, Johannesstraße 9-13, 44137, Dortmund, Deutschland. sofiafili86@hotmail.com.
Abstract:
Low grade endophthalmitis is usually a chronic indolent inflammation that may be misdiagnosed as noninfectious uveitis. Therefore, this form of endophthalmitis is often unsuccessfully treated with corticosteroids. We describe the case of a patient with low grade endophthalmitis caused by Propionibacterium acnes after cataract surgery. This case report presents the difficulties in establishing the diagnosis of this form of endophthalmitis as well as the benefits of a combined operative therapy with pars plana vitrectomy, intravitreal antibiotics and posterior capsulectomy for successful treatment in such cases.
Insights
Low grade endophthalmitis, often mistaken for uveitis, can be successfully treated with combined operative therapy. This approach, including pars plana vitrectomy and intravitreal antibiotics, offers a solution for this challenging post-cataract surgery complication.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Low grade endophthalmitis is a chronic inflammation often misdiagnosed as noninfectious uveitis.
- Corticosteroid treatment is frequently ineffective for this indolent form of endophthalmitis.
Observation:
- A case of low grade endophthalmitis caused by Propionibacterium acnes following cataract surgery is presented.
- Diagnostic challenges in identifying this specific type of endophthalmitis are highlighted.
Findings:
- Successful treatment was achieved through a combined operative approach.
- The therapy included pars plana vitrectomy, intravitreal antibiotics, and posterior capsulectomy.
Implications:
- This case underscores the importance of considering infectious causes in chronic post-surgical inflammation.
- Combined operative therapy offers a viable and effective treatment strategy for Propionibacterium acnes-induced endophthalmitis.
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