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Culture-Negative C acnes Endophthalmitis Following Implantation of a Phakic Implantable Collamer Lens
Calvin C Robbins1, Lucia Sobrin2, Kevin K Ma2
1Tufts University School of Medicine, Boston, MA, USA.
Purpose:
This work describes a case of Cutibacterium acnes (formerly Propionibacterium acnes) endophthalmitis following a posterior-chamber, phakic, Implantable Collamer Lens (ICL) surgery.
Methods:
A 34-year-old previously healthy woman presented with chronic unilateral iritis 8 months after bilateral ICL surgery. Original testing revealed no cause for the iritis with normal culture, serology, and autoimmune testing results.
Results:
Follow-up revealed C acnes by polymerase chain reaction on vitrectomy samples. Complete resolution of symptoms was achieved following removal of the implant, lensectomy, and intravitreal antibiotics.
Conclusions:
We believe this is the first reported case of postphakic ICL C acnes endophthalmitis. It highlights the utility of polymerase chain reaction in cases of chronic uveitis.
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