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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
Delayed-onset endophthalmitisPropionibacterium acnesPseudophakic endophthalmitis

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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.