Javey Golnaz, Albini Thomas A, Flynn Harry W
Ophthalmic Surg Lasers Imaging. 2010 Mar 9:1-3. doi: 10.3928/15428877-20100215-61.
Propionibacterium acnes is a well-recognized cause of chronic postoperative endophthalmitis after cataract surgery. The subtle clinical signs of this infection and its initial favorable response to topical steroids may lead to delayed diagnosis and treatment. Two patients with culture proven P. acnes endophthalmitis after cataract surgery that presented with prominent pigmented keratic precipitates (KPs) and low-grade iritis in the involved eye were managed. Both cases had initial treatment with diagnostic pars plana vitrectomy (PPV) with intraocular antibiotic (IOAB) injection. Secondary treatment for recurrence was required in both patients. The KPs and iritis resolved after removal of intraocular lens (IOL) and capsular bag.
痤疮丙酸杆菌是白内障手术后慢性术后眼内炎的一个公认病因。这种感染的细微临床体征及其对局部类固醇的初始良好反应可能导致诊断和治疗延迟。对两名白内障手术后经培养证实为痤疮丙酸杆菌性眼内炎的患者进行了治疗，这两名患者受累眼出现明显的色素性角膜后沉着物（KPs）和轻度虹膜炎。两例均首先采用诊断性玻璃体切割术（PPV）联合眼内抗生素（IOAB）注射进行治疗。两名患者均需要针对复发进行二次治疗。取出人工晶状体（IOL）和囊袋后，KPs和虹膜炎消失。
