Propionibacterium acnes endophthalmitis with bacterial sequestration in a Molteno's implant after cataract extraction

To report a case of Propionibacterium acnes endophthalmitis following uncomplicated cataract extraction with bacterial sequestration in a preexisting Molteno's drainage implant. Interventional case report. A 7-year-old girl with congenital glaucoma and a preexisting Molteno's drainage impl...

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Bibliographic Details
Published in:American journal of ophthalmology 2004-11, Vol.138 (5), p.878-879
Main Authors: Hollander, David A., Dodds, Emilio M., Rossetti, Silvia B., Wood, Irmgard S., Alvarado, Jorge A.
Format: Article
Language:English
Subjects:
Aqueous Humor - microbiology
Biological and medical sciences
Blotting, Southern
Cataract Extraction
Child
Device Removal
Endophthalmitis - diagnosis
Endophthalmitis - microbiology
Endophthalmitis - therapy
Female
Glaucoma - congenital
Glaucoma - surgery
Gram-Positive Bacterial Infections - diagnosis
Gram-Positive Bacterial Infections - microbiology
Gram-Positive Bacterial Infections - therapy
Humans
Lens diseases
Lens Implantation, Intraocular
Medical sciences
Molteno Implants - microbiology
Ophthalmology
Polymerase Chain Reaction
Postoperative Complications
Propionibacterium acnes - genetics
Propionibacterium acnes - isolation & purification
Propionibacterium acnes - ultrastructure
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Vitrectomy
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Summary:To report a case of Propionibacterium acnes endophthalmitis following uncomplicated cataract extraction with bacterial sequestration in a preexisting Molteno's drainage implant. Interventional case report. A 7-year-old girl with congenital glaucoma and a preexisting Molteno's drainage implant developed anterior nongranulomatous uveitis 4 months following cataract surgery. P. acnes endophthalmitis was diagnosed by polymerase chain reaction, Southern blot, and electron microscopy. Extraction of the Molteno's implant was required to control the persistent intraocular inflammation and to convert the results of polymerase chain reaction and Southern blot testing of aqueous sample for P. acnes from positive to negative. P. acnes may be sequestered in glaucoma implants, potentially requiring implant removal to treat cases of P. acnes endophthalmitis.
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2004.05.065