Harvard Medical School, Boston, Massachusetts; and.
Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
Retin Cases Brief Rep. 2024 Sep 1;18(5):585-588. doi: 10.1097/ICB.0000000000001450.
Postoperative endophthalmitis is a relatively uncommon, but potentially visually devastating, complication associated with cataract surgery. Specific microbial causes of endophthalmitis are characteristically associated with particular disease time courses. Although Cutibacterium acnes is typically associated with an indolent course of inflammation, we report a case of C. acnes endophthalmitis with onset on postoperative day (POD) 1 and a positive culture from POD 2.
This is a case report.
A 56-year-old man underwent cataract extraction and posterior chamber intraocular lens placement in his left eye. On POD 1, he presented with severe discomfort, reduced visual acuity, and significant inflammation. On POD 2, his anterior chamber was tapped and injected with broad-spectrum antibiotics and steroids. The inflammation ultimately resolved, and his visual acuity improved to 20/20.
C. acnes is a rare cause of hyperacute-onset postoperative endophthalmitis. Maintaining a high clinical suspicion and initiating prompt treatment can help to optimize long-term visual outcomes.
白内障手术后发生眼内炎虽不常见，但可能会对视功能造成严重破坏。眼内炎的具体微生物病因与特定的疾病病程有关。虽然痤疮丙酸杆菌通常与慢性炎症过程相关，但我们报告了一例术后第 1 天（POD1）发病且 POD2 培养阳性的痤疮丙酸杆菌眼内炎病例。
本病例报告。
一名 56 岁男性左眼行白内障摘除和后房型人工晶状体植入术。POD1，他主诉严重不适、视力下降和明显炎症。POD2，行前房穿刺并注射广谱抗生素和类固醇。炎症最终消退，视力提高至 20/20。
痤疮丙酸杆菌是一种罕见的导致术后眼内炎超急性发作的原因。保持高度的临床怀疑并及时开始治疗有助于优化长期视力预后。
