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A Case of Delayed-Onset Propionibacterium acnes Endophthalmitis after Cataract Surgery with Implantation of a Preloaded Intraocular Lens.

Identifieur interne : 000A60 ( PubMed/Corpus ); précédent : 000A59; suivant : 000A61

A Case of Delayed-Onset Propionibacterium acnes Endophthalmitis after Cataract Surgery with Implantation of a Preloaded Intraocular Lens.

Auteurs : Yuki Hayashi ; Hiroshi Eguchi ; Tatsuro Miyamoto ; Masayuki Inoue ; Yoshinori Mitamura

Source :

RBID : pubmed:23275791

Abstract

To report a case of delayed-onset endophthalmitis after implantation of a preloaded intraocular lens (IOL) and examine the surgically removed IOL by scanning electron microscopy (SEM).

DOI: 10.1159/000342460
PubMed: 23275791

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pubmed:23275791

Le document en format XML

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<title xml:lang="en">A Case of Delayed-Onset Propionibacterium acnes Endophthalmitis after Cataract Surgery with Implantation of a Preloaded Intraocular Lens.</title>
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<name sortKey="Hayashi, Yuki" sort="Hayashi, Yuki" uniqKey="Hayashi Y" first="Yuki" last="Hayashi">Yuki Hayashi</name>
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<nlm:affiliation>Department of Ophthalmology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.</nlm:affiliation>
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<author>
<name sortKey="Eguchi, Hiroshi" sort="Eguchi, Hiroshi" uniqKey="Eguchi H" first="Hiroshi" last="Eguchi">Hiroshi Eguchi</name>
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<name sortKey="Miyamoto, Tatsuro" sort="Miyamoto, Tatsuro" uniqKey="Miyamoto T" first="Tatsuro" last="Miyamoto">Tatsuro Miyamoto</name>
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<name sortKey="Inoue, Masayuki" sort="Inoue, Masayuki" uniqKey="Inoue M" first="Masayuki" last="Inoue">Masayuki Inoue</name>
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<author>
<name sortKey="Mitamura, Yoshinori" sort="Mitamura, Yoshinori" uniqKey="Mitamura Y" first="Yoshinori" last="Mitamura">Yoshinori Mitamura</name>
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<title xml:lang="en">A Case of Delayed-Onset Propionibacterium acnes Endophthalmitis after Cataract Surgery with Implantation of a Preloaded Intraocular Lens.</title>
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<name sortKey="Hayashi, Yuki" sort="Hayashi, Yuki" uniqKey="Hayashi Y" first="Yuki" last="Hayashi">Yuki Hayashi</name>
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<nlm:affiliation>Department of Ophthalmology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.</nlm:affiliation>
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<name sortKey="Eguchi, Hiroshi" sort="Eguchi, Hiroshi" uniqKey="Eguchi H" first="Hiroshi" last="Eguchi">Hiroshi Eguchi</name>
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<name sortKey="Miyamoto, Tatsuro" sort="Miyamoto, Tatsuro" uniqKey="Miyamoto T" first="Tatsuro" last="Miyamoto">Tatsuro Miyamoto</name>
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<name sortKey="Inoue, Masayuki" sort="Inoue, Masayuki" uniqKey="Inoue M" first="Masayuki" last="Inoue">Masayuki Inoue</name>
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<name sortKey="Mitamura, Yoshinori" sort="Mitamura, Yoshinori" uniqKey="Mitamura Y" first="Yoshinori" last="Mitamura">Yoshinori Mitamura</name>
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<title level="j">Case reports in ophthalmology</title>
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<div type="abstract" xml:lang="en">To report a case of delayed-onset endophthalmitis after implantation of a preloaded intraocular lens (IOL) and examine the surgically removed IOL by scanning electron microscopy (SEM).</div>
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<Month>05</Month>
<Day>30</Day>
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<Title>Case reports in ophthalmology</Title>
<ISOAbbreviation>Case Rep Ophthalmol</ISOAbbreviation>
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<ArticleTitle>A Case of Delayed-Onset Propionibacterium acnes Endophthalmitis after Cataract Surgery with Implantation of a Preloaded Intraocular Lens.</ArticleTitle>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To report a case of delayed-onset endophthalmitis after implantation of a preloaded intraocular lens (IOL) and examine the surgically removed IOL by scanning electron microscopy (SEM).</AbstractText>
<AbstractText Label="CASE" NlmCategory="METHODS">A 77-year-old female underwent uneventful phacoemulsification and aspiration with preloaded silicone IOL implantation. Since intraocular inflammation unexpectedly worsened 1 month after the surgery, she was referred to our hospital. Her visual acuity was hand motion in the left eye. Hypopyon and fibrin formation were observed in the anterior chamber. A diagnosis of postoperative delayed-onset endophthalmitis was made, and vitrectomy with anterior chamber wash-out was performed. As intraocular inflammation remained unchanged postoperatively, an additional surgery with IOL removal was performed. We cultivated the surgically removed samples of aqueous humor and vitreous fluid under both aerobic and anaerobic conditions, performed 16S rDNA clone library analysis of these clinical samples, and examined the removed IOL by SEM.</AbstractText>
<AbstractText Label="RESULT" NlmCategory="RESULTS">Inflammation subsided after the re-operation. Although cultures of aqueous and vitreous samples were negative, DNA of Propionibacterium acnes was detected in the aqueous humor. The SEM images showed that the rod bacteria and biofilm-like material formed on the tip of the IOL haptic.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Delayed-onset endophthalmitis may occur after uneventful implantation of a preloaded IOL. The SEM findings suggested that the tip of the preloaded IOL haptic might scratch bacteria which adhered to the tip of the injector nozzle when the IOL was inserted into the anterior chamber. In some cases with delayed-onset endophthalmitis, IOL removal is needed to eliminate the bacteria which adhere to the tip of the IOL haptic.</AbstractText>
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<RefSource>Arch Ophthalmol. 1987 Nov;105(11):1571-5</RefSource>
<PMID Version="1">3499883</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>J Cataract Refract Surg. 1995 Nov;21(6):679-84</RefSource>
<PMID Version="1">8551447</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Appl Environ Microbiol. 1998 Feb;64(2):795-9</RefSource>
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<RefSource>Ophthalmology. 1999 Dec;106(12):2395-401</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Cataract Refract Surg. 2000 Jul;26(7):1085-8</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>J Cataract Refract Surg. 2006 Mar;32(3):522-5</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Am J Ophthalmol. 2011 Jan;151(1):11-17.e1</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Cataract Refract Surg. 2006 Oct;32(10):1691-5</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Jpn J Ophthalmol. 1998 Nov-Dec;42(6):456-60</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Ophthalmology. 1999 Sep;106(9):1665-70</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Appl Environ Microbiol. 2006 Apr;72(4):2765-74</RefSource>
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<Keyword MajorTopicYN="N">Endophthalmitis</Keyword>
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