Skip to main content
SpringerLink
Log in

Low-grade-Endophthalmitis verursacht durch P. acnes

Eine Kasuistik

Low grade endophthalmitis caused by P. acnes

Case report

  • Kasuistiken
  • Published:
Der Ophthalmologe Aims and scope Submit manuscript

Zusammenfassung

Die Low-grade-Endophthalmitis zeigt häufig einen chronischen Verlauf und imitiert die Symptomatologie einer autoimmunen Uveitis. Daher wird oftmals erfolglos mit Kortikosteroiden behandelt. Wir berichten über eine Patientin, die nach einer Kataraktoperation eine Low-grade-Endophthalmitis durch Propionibacterium acnes entwickelte. Die Kasuistik präsentiert die Schwierigkeiten bei der Diagnosestellung einer Low-grade-Endophthalmitis und argumentiert für die Durchführung einer Pars-plana-Vitrektomie, intravitrealen Gabe von Antibiotika und hinteren Kapsulektomie als eine erfolgreiche Behandlung in solchen Fällen.

Abstract

Low grade endophthalmitis is usually a chronic indolent inflammation that may be misdiagnosed as noninfectious uveitis. Therefore, this form of endophthalmitis is often unsuccessfully treated with corticosteroids. We describe the case of a patient with low grade endophthalmitis caused by Propionibacterium acnes after cataract surgery. This case report presents the difficulties in establishing the diagnosis of this form of endophthalmitis as well as the benefits of a combined operative therapy with pars plana vitrectomy, intravitreal antibiotics and posterior capsulectomy for successful treatment in such cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Aldave AJ, Stein JD, Deramo VA, Shah GK, Fischer DH, Maguire JI (1999) Treatment strategies for postoperative Propionibacterium acnes endophthalmitis. Ophthalmology 106:2395–2401

    Article  CAS  PubMed  Google Scholar 

  2. Busin M (1996) Antibiotic irrigation of the capsular bag to resolve low-grade endophthalmitis. J Cataract Refract Surg 22(3):385–389

    Article  CAS  PubMed  Google Scholar 

  3. Clark WL, Kaiser PK, Flynn HW, Belfort A, Miller D, Meisler DM (1999) Treatment strategies and visual acuity outcomes in chronic postoperative Propionobacterium acnes endophthalmitis. Ophthalmology 106:1665–1670

    Article  CAS  PubMed  Google Scholar 

  4. Deramo VA, Ting TD (2001) Treatment of Propionobacterium acnes endophthalmitis. Curr Opin Ophthalmol 12(3):225–229

    Article  CAS  PubMed  Google Scholar 

  5. Maalouf F, Abdulaal M, Hamam RN (2012) Chronic postoperative endophthalmitis: a review of clinical characteristics, microbiology, treatment strategies, and outcomes. Int J Inflam 2012:313248

    Article  PubMed  PubMed Central  Google Scholar 

  6. Ojaimi E, Wong DT (2013) Endophthalmitis, prevention and treatment. In: Zaidi FH (Hrsg) Cataract surgery. InTech, Croatia, S 265–284

  7. Schlichtenbrede FC, Spandau UH, Harder B, Jonas JB (2009) Lens capsular bag irrigation for low-grade endophthalmitis. Graefes Arch Clin Exp Ophthalmol 247(9):1273–1276

    Article  PubMed  Google Scholar 

  8. Shirodkar AR, Pathengay A, Flynn HW Jr, Albini TA, Berrocal AM, Davis JL, Lalwani GA, Murray TG, Smiddy WE, Miller D (2012) Delayed- versus acute-onset endophthalmitis after cataract surgery. Am J Ophthalmol 153(3):391–398

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. St.-Johannes-Hospital, Johannesstraße 9–13, 44137, Dortmund, Deutschland

    S. Fili, T. Schilde, K. Kontopoulou, S. Hayvazov & M. Kohlhaas

Authors
  1. S. Fili
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. Schilde
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. K. Kontopoulou
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Hayvazov
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Kohlhaas
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Fili.

Ethics declarations

Interessenkonflikt

S. Fili, T. Schilde, K. Kontopoulou, S. Hayvazov, M. Kohlhaas geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fili, S., Schilde, T., Kontopoulou, K. et al. Low-grade-Endophthalmitis verursacht durch P. acnes . Ophthalmologe 113, 606–608 (2016). https://doi.org/10.1007/s00347-015-0160-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00347-015-0160-1

Schlüsselwörter

Keywords

Search

Navigation