An Atypical Presentation of Propionibacterium Acnes Endophthalmitis Following Cataract Surgery

Itamar Livnat, Jay Daniels, Leanne T. Labriola, Michael S. Tsipursky

Research output: Contribution to journalArticlepeer-review


Purpose: To describe a case with an unusual presentation of Propionibacterium acnes (P acnes) with ultimately a good visual outcome. Methods: A case report with review of approaches to P acnes endophthalmitis. Results: We describe a patient with an unusual presentation of P acnes of panuveitis with white, circular preretinal lesions without intracapsular deposits. Diagnosis was made from cultures from pars plana vitrectomy. Eventually, she was definitively managed with capsulectomy, repositioning of her intraocular lens via sutureless intrascleral fixation, and intravitreal vancomycin injection. Conclusion: This is a report of P acnes endophthalmitis presenting with discrete preretinal lesions where surgical and medical management lead to a complete resolution of uveitis and symptoms after a 3-year follow up where the patient’s final visual acuity was Snellen 20/20 OU.

Original languageEnglish (US)
Pages (from-to)332-336
Number of pages5
JournalJournal of VitreoRetinal Diseases
Issue number4
StatePublished - Jul 1 2020
Externally publishedYes


  • IOL
  • Propionibacterium acnes
  • cataract
  • endophthalmitis
  • glued intraocular lens
  • postoperative infection
  • scleral tunnel

ASJC Scopus subject areas

  • Ophthalmology


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