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Abstract #123935 Published in IGR 25-1

Karapanos L; Varma S; Allen P
Ocular Immunology and Inflammation 2024; 0: 1-3


PURPOSE: To report the first case of ocular infection manifesting as chronic post-operative endophthalmitis (CPOE) following routine phacoemulsification with intraocular lens (IOL) implantation. This gram-positive bacterium is recognised as a cause of hardware infections in immunocompetent hosts, such as prosthetic cardiac valves, ventriculoperitoneal shunts, and orthopaedic hardware, often necessitating surgical removal of the infected prostheses for cure. METHODS: Case report and literature review. RESULTS: A 64-year-old male with a history of uncomplicated cataract extraction and IOL insertion had multiple presentations over 6 years, with relapsing-remitting intraocular inflammation with multiple negative vitreous cultures treated as non-infectious panuveitis. An eventual positive vitreous culture for led to a diagnosis of CPOE, which was successfully treated with vitrectomy, removal of IOL, and intravitreal vancomycin injections. However, advanced vision loss occurred due to secondary glaucoma. CONCLUSION: Array

Vitreoretinal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.

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15 Miscellaneous



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