Management of mycobacterium chelonae endophthalmitis with complete surgical debridement

Andrew J. Barkmeier, Diva M. Salomao, Keith Baratz

Research output: Contribution to journalArticle

Abstract

Purpose: To report the clinical course and histopathologic findings of two consecutive patients with resolution of Mycobacterium chelonae endophthalmitis and favorable visual outcomes after complete removal of intraocular implants and lens capsular complexes and prolonged sensitivity-guided combination antibiotic therapy. Methods: Medical records and histopathologic findings were reviewed for two consecutive patients with M. chelonae endophthalmitis. Results: Two consecutive patients with M. chelonae endophthalmitis had prolonged clinical courses with refractory endophthalmitis before complete removal of intraocular implants and lens capsular complexes. One patient had histopathologic evidence of lens remnant-associated acid-fast bacilli. Conclusion: Surgical explantation of intraocular implants and lens capsular complexes appears to play an important role in the management of M. chelonae endophthalmitis, which may be closely associated with crystalline lens remnants.

Original languageEnglish (US)
Pages (from-to)2440-2442
Number of pages3
JournalRetina
Volume36
Issue number12
DOIs
StatePublished - Dec 1 2016

Fingerprint

Mycobacterium chelonae
Endophthalmitis
Debridement
Intraocular Lenses
Crystalline Lens
Bacillus
Lenses
Medical Records
Anti-Bacterial Agents
Acids

Keywords

  • acid-fast bacilli
  • chronic endophthalmitis
  • endophthalmitis
  • mycobacterial endophthalmitis
  • Mycobacterium chelonae

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Management of mycobacterium chelonae endophthalmitis with complete surgical debridement. / Barkmeier, Andrew J.; Salomao, Diva M.; Baratz, Keith.

In: Retina, Vol. 36, No. 12, 01.12.2016, p. 2440-2442.

Research output: Contribution to journalArticle

Barkmeier, Andrew J. ; Salomao, Diva M. ; Baratz, Keith. / Management of mycobacterium chelonae endophthalmitis with complete surgical debridement. In: Retina. 2016 ; Vol. 36, No. 12. pp. 2440-2442.
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