Culture-Negative C acnes Endophthalmitis Following Implantation of a Phakic Implantable Collamer Lens

Autor: Lucia Sobrin, Calvin C. Robbins, Jeffrey K. Moore, Kevin K. Ma, Kathryn M. Brouillette
Rok vydání: 2020
Předmět:
Zdroj: J Vitreoretin Dis
ISSN: 2474-1272
2474-1264
DOI: 10.1177/2474126420968402
Popis: 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.
Databáze: OpenAIRE