Abstract
Propionibacterium acnes is a well-known cause of delayed endophthalmitis following cataract surgery. A white intracapsular plaque, keratic precipitates, and hypopyon may be present. Although there is no consensus on the treatment approach, recent studies have reviewed the outcomes of relatively large numbers of patients. Reasonable treatment options include pars plana vitrectomy and intra-ocular antibiotics with either partial or total capsulectomy/lens exchange. A good visual outcome is possible.
Publication types
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Research Support, Non-U.S. Gov't
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Review
MeSH terms
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Anti-Bacterial Agents / therapeutic use
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Combined Modality Therapy
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Endophthalmitis / diagnosis
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Endophthalmitis / microbiology
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Endophthalmitis / therapy*
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Eye Infections, Bacterial / diagnosis
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Eye Infections, Bacterial / microbiology
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Eye Infections, Bacterial / therapy*
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Gram-Positive Bacterial Infections / diagnosis
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Gram-Positive Bacterial Infections / microbiology
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Gram-Positive Bacterial Infections / therapy*
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Humans
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Propionibacterium acnes / isolation & purification*
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Surgical Wound Infection / diagnosis
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Surgical Wound Infection / microbiology
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Surgical Wound Infection / therapy
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Vitrectomy