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Management options for Propionibacterium acnes endophthalmitis
W Zambrano1, H W Flynn, S C Pflugfelder
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, FL 33136.
Ophthalmology
|July 1, 1989
Summary
Propionibacterium acnes endophthalmitis, an infection after cataract surgery, can be managed with various antibiotic and surgical approaches. Successful visual outcomes were achieved across multiple treatment strategies for this rare complication.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Propionibacterium acnes endophthalmitis is a rare but serious complication following cataract surgery.
- It typically presents months after extracapsular cataract extraction (ECCE) and posterior chamber intraocular lens (PC IOL) implantation.
Purpose of the Study:
- To review the management strategies and outcomes of culture-proven Propionibacterium acnes endophthalmitis.
- To propose a treatment algorithm based on clinical experience.
Main Methods:
- Retrospective review of nine cases of P. acnes endophthalmitis.
- Analysis of initial clinical signs, management approaches, and final visual acuities.
Main Results:
- Common signs included white intracapsular plaque, vitritis, and uveitis.
- Management varied, including antibiotics alone, combined topical/intraocular antibiotics, and surgical interventions like pars plana vitrectomy and IOL exchange.
- Six eyes achieved final visual acuity of 20/20 to 20/60, while three had 20/200 to 20/400.
Conclusions:
- Multiple management options for P. acnes endophthalmitis can lead to successful visual outcomes.
- An evidence-based algorithm for future treatment is proposed.