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Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
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Bilateral sequential Propionibacterium acnes exogenous endophthalmitis.
Norman Saffra1, Emily Moriarty2, Tatyana Milman3
1Department of Ophthalmology, Maimonides Medical Center, Brooklyn, NY, USA. eyesitemd@gmail.com.
Journal of Ophthalmic Inflammation and Infection
|May 26, 2016
Summary
Delayed-onset endophthalmitis can occur after cataract surgery. This case highlights bilateral Propionibacterium acnes infection, emphasizing the need for vigilance in persistent uveitis following ocular procedures.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Cataract surgery is a common procedure.
- Postoperative endophthalmitis is a rare but serious complication.
- Delayed-onset endophthalmitis can present months or years after surgery.
Purpose of the Study:
- To report a unique case of bilateral sequential Propionibacterium acnes endophthalmitis.
- To emphasize the importance of considering delayed-onset endophthalmitis in refractory uveitis cases.
Main Methods:
- Case report of a 68-year-old male patient.
- Sequential bilateral cataract extractions.
- Diagnosis based on intraocular cultures and clinical presentation.
- Treatment with appropriate antimicrobial therapy.
Main Results:
- Patient presented with persistent bilateral intraocular inflammation 6 months after the second cataract surgery.
- Cultures from both eyes identified Propionibacterium acnes.
- The patient responded well to antimicrobial treatment.
Conclusions:
- This is the first reported case of bilateral sequential Propionibacterium acnes exogenous endophthalmitis.
- Clinicians should maintain a high suspicion for delayed-onset endophthalmitis in cases of uveitis unresponsive to anti-inflammatory treatment.
- Prompt diagnosis and treatment are crucial for favorable outcomes in endophthalmitis.
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