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A Case of Delayed-Onset Propionibacterium acnes Endophthalmitis after Cataract Surgery with Implantation of a Preloaded Intraocular Lens
https://tokushima-u.repo.nii.ac.jp/records/2000305
https://tokushima-u.repo.nii.ac.jp/records/200030597c8a2e1-fe04-46e9-a956-07d9b2d75141
| 名前 / ファイル | ライセンス | アクション |
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cro_3_3_291.pdf (903 KB)
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| Item type | 文献 / Documents(1) | |||||||||||||||||
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| 公開日 | 2025-02-21 | |||||||||||||||||
| アクセス権 | ||||||||||||||||||
| アクセス権 | open access | |||||||||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||||||
| 資源タイプ | ||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||
| 出版社版DOI | ||||||||||||||||||
| 関連識別子 | https://doi.org/10.1159/000342460 | |||||||||||||||||
| 関連名称 | 10.1159/000342460 | |||||||||||||||||
| 出版タイプ | ||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||
| タイトル | ||||||||||||||||||
| タイトル | A Case of Delayed-Onset Propionibacterium acnes Endophthalmitis after Cataract Surgery with Implantation of a Preloaded Intraocular Lens | |||||||||||||||||
| 著者 |
Hayashi, Yuki
× Hayashi, Yuki
× 江口, 洋× Miyamoto, Tatsuro
× Inoue, Masayuki
× 三田村, 佳典
WEKO
426
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| 抄録 | ||||||||||||||||||
| 内容記述 | Purpose: 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). Case: 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. Result: 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. Conclusion: 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. |
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| キーワード | ||||||||||||||||||
| 主題 | Endophthalmitis | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | Preloaded intraocular lens | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | Propionibacterium acnes | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | Scanning electron microscopy | |||||||||||||||||
| 書誌情報 |
en : Case Reports in Ophthalmology 巻 3, 号 3, p. 291-297, 発行日 2012-09-11 |
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| 収録物ID | ||||||||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||||||||
| 収録物識別子 | 16632699 | |||||||||||||||||
| 収録物ID | ||||||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||||||
| 収録物識別子 | AA12780966 | |||||||||||||||||
| 出版者 | ||||||||||||||||||
| 出版者 | Karger | |||||||||||||||||
| 権利情報 | ||||||||||||||||||
| 権利情報 | This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (www.karger.com/OA-license), applicable to the online version of the article only. Distribution for non-commercial purposes only. | |||||||||||||||||
| EID | ||||||||||||||||||
| 識別子 | 264901 | |||||||||||||||||
| 言語 | ||||||||||||||||||
| 言語 | eng | |||||||||||||||||
