Chronic Propionibacterium endophthalmitis after extracapsular cataract extraction and intraocular lens implantation

Am J Ophthalmol. 1986 Dec 15;102(6):733-9. doi: 10.1016/0002-9394(86)90401-0.


We studied six cases of chronic, indolent intraocular inflammation that occurred after extracapsular cataract extraction and posterior chamber intraocular lens implantation. The inflammation was characterized by a delayed onset, and in three cases had the clinical appearance of a granulomatous iridocyclitis. Cultures of intraocular specimens obtained from six eyes yielded Propionibacterium; five yielded P. acnes. Pleomorphic gram-positive bacilli consistent with Propionibacterium were identified in cytologic or histopathologic studies in four of the six culture-positive cases. After surgical and medical therapy, the inflammation resolved. Postoperative Propionibacterium endophthalmitis may masquerade as a chronic iridocyclitis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bacterial Infections*
  • Cataract Extraction / adverse effects*
  • Chronic Disease
  • Endophthalmitis / etiology*
  • Endophthalmitis / microbiology
  • Endophthalmitis / pathology
  • Female
  • Humans
  • Lenses, Intraocular / adverse effects*
  • Male
  • Middle Aged
  • Propionibacterium