This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (60)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Thomas J. Roussel, MD; William W. Culbertson, MD; Norman S. Jaffe, MD

Arch Ophthalmol. 1987;105(9):1199-1201.

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.

Author Affiliations
From the Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine.

Footnotes
Accepted for publication May 6, 1987.

Reprint requests to Bascom Palmer Eye Institute, PO Box 016880, 900 NW 17th St, Miami, FL 33101 (Dr Roussel).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Five-Year Corneal Graft Survival: A Large, Single-Center Patient Cohort
Price et al.
Arch Ophthalmol 1993;111:799-805.
ABSTRACT  

Chronic Nocardia asteroides Endophthalmitis After Extracapsular Cataract Extraction
Zimmerman et al.
Arch Ophthalmol 1993;111:837-840.
ABSTRACT  

Torulopsis candida (Candida famata) Endophthalmitis Simulating Propionibacterium acnes Syndrome
Rao et al.
Arch Ophthalmol 1991;109:1718-1721.
ABSTRACT  

Immunohistochemistry of the Inflammatory Response in Propionibacterium acnes Endophthalmitis
Whitcup et al.
Arch Ophthalmol 1991;109:978-979.
ABSTRACT  

Endocapsular Hematoma: Description and Treatment of a Unique Form of Postoperative Hemorrhage
Hagan and Gaasterland
Arch Ophthalmol 1991;109:514-518.
ABSTRACT  

Chronic Postoperative Endophthalmitis Associated With Actinomyces Species
Roussel et al.
Arch Ophthalmol 1991;109:60-62.
ABSTRACT  

Coryneform Endophthalmitis: Two Case Reports
McManaway et al.
Arch Ophthalmol 1990;108:942-944.
ABSTRACT  

Contamination of K-Sol Corneal Storage Medium With Propionibacterium acnes
Sieck et al.
Arch Ophthalmol 1989;107:1023-1024.
ABSTRACT