Chronic postoperative endophthalmitis associated with Propionibacterium acnes

T. J. Roussel, William W Culbertson, N. S. Jaffe

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

We present two cases of Propionibacterium acnes endophthalmitis that confirm the association of this organism with a delayed onset and chronic and indolent intraocular inflammation following extracapsular cataract extraction with posterior chamber intraocular lens implantation. The clinical, microbiologic, and histopathologic features of these cases suggest that the organism can be sequestered in the capsular bag, which may make this entity difficult to diagnose. We conclude that complete capsulectomy may be required if inflammation persists after conventional treatment for endophthalmitis, which may include pars plana vitrectomy, partial capsulectomy, and antibiotic therapy. Sterile postoperative uveitis is a diagnosis of exclusion. We stress the importance of appropriate microbiologic investigation in all cases of postsurgical inflammation, even if the onset is delayed until several months after surgery.

Original languageEnglish
Pages (from-to)1199-1201
Number of pages3
JournalArchives of Ophthalmology
Volume105
Issue number9
StatePublished - Jan 1 1987

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Propionibacterium acnes
Endophthalmitis
Inflammation
Intraocular Lens Implantation
Temazepam
Cataract Extraction
Vitrectomy
Uveitis
Anti-Bacterial Agents
Therapeutics

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Chronic postoperative endophthalmitis associated with Propionibacterium acnes. / Roussel, T. J.; Culbertson, William W; Jaffe, N. S.

In: Archives of Ophthalmology, Vol. 105, No. 9, 01.01.1987, p. 1199-1201.

Research output: Contribution to journalArticle

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