1. Optic disk edema as a presentation of propionibacterium acnes endophthalmitis
- Author
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Peter J Blackburn, Naresh Mandava, Thomas P Larkin, and Gregory A Kouyoumdjian
- Subjects
Male ,medicine.medical_specialty ,Visual acuity ,genetic structures ,medicine.medical_treatment ,Eye disease ,Lens Capsule, Crystalline ,Visual Acuity ,Vitrectomy ,Eye Infections, Bacterial ,Propionibacterium acnes ,Endophthalmitis ,Lens Implantation, Intraocular ,Ophthalmology ,Edema ,medicine ,Humans ,Gram-Positive Bacterial Infections ,Aged ,Phacoemulsification ,biology ,business.industry ,Eye infection ,medicine.disease ,biology.organism_classification ,Combined Modality Therapy ,eye diseases ,Anti-Bacterial Agents ,Surgery ,Optic nerve ,Drug Therapy, Combination ,sense organs ,medicine.symptom ,business ,Papilledema - Abstract
PURPOSE: To report a patient with an initial presentation of optic disk edema secondary to Propionibacterium acnes endophthalmitis. METHODS: Interventional case report. The patient had surgery and treatment related to endophthalmitis. Nine months after cataract surgery with posterior chamber lens implant, a 79-year-old man receiving topical corticosteroids in the same eye presented with best-corrected visual acuity of 20/60, a superior visual field defect, and optic nerve edema without intraocular inflammation. One year postoperatively, the eye presented a further decrease in best-corrected visual acuity, and a dense white plaque was noted on the posterior capsule. RESULTS: One year postoperatively, a partial capsulectomy with vitrectomy and injection of intravitreal antibiotics was performed. Hematoxylin and eosin stain of the posterior capsule plaque revealed gram-positive coccobacilli characteristic of P. acnes . CONCLUSION: Propionibacterium acnes endophthalmitis may present after cataract surgery with intraocular lens implant with decreased vision, optic disk edema, and a visual field defect.
- Published
- 2001
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