Al-Mulla Abdullah H, Al-Rushoud Muath W
Department of Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, SAU.
Cureus. 2021 Nov 17;13(11):e19684. doi: 10.7759/cureus.19684. eCollection 2021 Nov.
This report describes an unusually delayed presentation of capsular bag distension syndrome (CBDS), which was found to be associated with Propionibacterium acnes (P. acnes) endophthalmitis. Our patient presented with a gradual decrease in vision after uneventful cataract surgery done 13 years back. On examination, there was a thick turbid fluid entrapped behind the intraocular lens (IOL). Ultrasound biomicroscopy (UBM) confirmed the presumed diagnosis. The case was managed by pars plana vitrectomy (PPV) with posterior capsulotomy, and the entrapped turbid fluid was aspirated and sent for histopathology, which revealed a positive growth of P. acnes. The patient had excellent outcomes with complete resolution post-operatively.
本报告描述了一例极为罕见的迟发性囊袋扩张综合征（CBDS），该综合征被发现与痤疮丙酸杆菌（P. acnes）性眼内炎有关。我们的患者在13年前白内障手术顺利完成后，视力逐渐下降。检查发现，人工晶状体（IOL）后方有浓稠浑浊的液体。超声生物显微镜检查（UBM）证实了初步诊断。该病例通过经平坦部玻璃体切除术（PPV）联合后囊切开术进行治疗，吸出了被困的浑浊液体并送去做组织病理学检查，结果显示痤疮丙酸杆菌生长阳性。患者术后恢复良好，症状完全缓解。
