Conservative approach in the management of chronic postoperative Propionibacterium acnes endophthalmitis: A case report with review of literature
| Autor: | Saurabh Deshmukh, Ronel Soibam, Pritam Bawankar, Harsha Bhattacharjee, Surpriya Hawaibam, Krati Gupta, Jitendra Kumar, Chintan Desai |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | TNOA Journal of Ophthalmic Science and Research, Vol 58, Iss 3, Pp 200-202 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2589-4528 2589-4536 |
| DOI: | 10.4103/tjosr.tjosr_20_20 |
| Popis: | Chronic endophthalmitis can occur following uncomplicated cataract surgery with intraocular lens (IOL) implantation secondary to slow-growing organisms such as Propionibacterium acnes. A 68-year-old male presented with pain and diminution of vision 4 months after uneventful phacoemulsification with IOL implantation. Slit-lamp examination showed trace hypopyon, conjunctival congestion with anterior chamber cells and flare, vitreous haze, and posterior capsular plaque-like deposits suggestive of probable P. acnes endophthalmitis. Intravitreal antibiotics did not provide any relief. The diagnosis was confirmed using PCR on the aqueous aspirate. Intracameral and in-the-bag injection of antibiotic caused the resolution of infection and improvement in visual acuity. This report thus highlights that in-the-bag antibiotics can help conservatively manage this condition without the need for an invasive procedure like vitrectomy and IOL explantation. |
| Databáze: | Directory of Open Access Journals |
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