Initial Presentation of Cutibacterium (Formerly Propionibacterium) acnes Endophthalmitis Twenty-One Years After Cataract Surgery

The authors report a case of an 81-year-old female who presented with sudden onset of light perception vision and intraocular inflammation. After several months of continuing symptoms despite antibiotics, an aqueous tap culture grew Cutibacterium acnes. The patient had cataract surgery 21 years prio...

Full description

Saved in:
Bibliographic Details
Published inOphthalmic surgery, lasers & imaging Vol. 52; no. 1; pp. 44 - 46
Main Authors Ma, Justin P, Robbins, Cason B, Finn, Avni P, Feng, Henry L, Fekrat, Sharon, Vajzovic, Lejla
Format Journal Article
LanguageEnglish
Published United States Slack, Inc 01.01.2021
SLACK INCORPORATED
Subjects
Acne
Antibiotics
Cataract
Cataracts
Diagnosis
Endophthalmitis
Eye surgery
Inflammation
Intraocular lenses
Surgery
Virulence
Online AccessGet full text

Cover

More Information
Summary:The authors report a case of an 81-year-old female who presented with sudden onset of light perception vision and intraocular inflammation. After several months of continuing symptoms despite antibiotics, an aqueous tap culture grew Cutibacterium acnes. The patient had cataract surgery 21 years prior, and had no intervening trauma, intraocular procedure, or endogenous source. The presumed diagnosis was C. acnes endophthalmitis with significantly delayed onset. Capsulectomy and intraocular lens removal resolved the patient's symptoms. In rare cases, C. acnes endophthalmitis may present as recurrent inflammation despite an extremely remote history of cataract surgery, mimicking a virulent, acute-onset endophthalmitis despite antibiotic administration. [Ophthalmic Surg Lasers Imaging Retina. 2021;52:44-46.].
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:2325-8160
2325-8179
DOI:10.3928/23258160-20201223-08