An Atypical Presentation of Propionibacterium Acnes Endophthalmitis Following Cataract Surgery

Itamar Livnat; Jay Daniels; Leanne T Labriola; Michael S Tsipursky

doi:10.1177/2474126419895873

An Atypical Presentation of Propionibacterium Acnes Endophthalmitis Following Cataract Surgery

J Vitreoretin Dis. 2020 Jan 3;4(4):332-336. doi: 10.1177/2474126419895873. eCollection 2020 Jul-Aug.

Authors

Itamar Livnat¹, Jay Daniels², Leanne T Labriola³, Michael S Tsipursky³

Affiliations

¹ University of Illinois at Urbana-Champaign, Urbana, IL, USA.
² Northwestern University, Evanston, IL, USA.
³ Carle Foundation Hospital, Urbana, IL, USA.

Abstract

Purpose: To describe a case with an unusual presentation of Propionibacterium acnes (P acnes) with ultimately a good visual outcome.

Methods: A case report with review of approaches to P acnes endophthalmitis.

Results: We describe a patient with an unusual presentation of P acnes of panuveitis with white, circular preretinal lesions without intracapsular deposits. Diagnosis was made from cultures from pars plana vitrectomy. Eventually, she was definitively managed with capsulectomy, repositioning of her intraocular lens via sutureless intrascleral fixation, and intravitreal vancomycin injection.

Conclusion: This is a report of P acnes endophthalmitis presenting with discrete preretinal lesions where surgical and medical management lead to a complete resolution of uveitis and symptoms after a 3-year follow up where the patient's final visual acuity was Snellen 20/20 OU.

Keywords: IOL; Propionibacterium acnes; cataract; endophthalmitis; glued intraocular lens; postoperative infection; scleral tunnel.

Publication types

Case Reports