Culture-Negative Endophthalmitis Following Implantation of a Phakic Implantable Collamer Lens

Authors

Calvin C. Robbins, Tufts University School of Medicine, Boston, MA, USA.
Lucia Sobrin, Department of Ophthalmology, Massachusetts Eye and Ear, Boston, MA, USA.
Kevin K. Ma, Department of Ophthalmology, Massachusetts Eye and Ear, Boston, MA, USA.
Kathryn M. Brouillette, Department of Internal Medicine, Maine Medical Center, Portland, ME, USA.
Jeffrey K. Moore, Department of Ophthalmology, Maine Medical Center, Portland, ME, USA.

Document Type

Article

Publication Date

11-4-2020

Institution/Department

Internal Medicine

Journal Title

Journal of vitreoretinal diseases

Abstract

PURPOSE: This work describes a case of (formerly ) endophthalmitis following a posterior-chamber, phakic, Implantable Collamer Lens (ICL) surgery. METHODS: A 34-year-old previously healthy woman presented with chronic unilateral iritis 8 months after bilateral ICL surgery. Original testing revealed no cause for the iritis with normal culture, serology, and autoimmune testing results. RESULTS: Follow-up revealed by polymerase chain reaction on vitrectomy samples. Complete resolution of symptoms was achieved following removal of the implant, lensectomy, and intravitreal antibiotics. CONCLUSIONS: We believe this is the first reported case of postphakic ICL endophthalmitis. It highlights the utility of polymerase chain reaction in cases of chronic uveitis.

First Page

258

Last Page

260

Recommended Citation

Robbins CC, Sobrin L, Ma KK, Brouillette KM, Moore JK. Culture-Negative C acnes Endophthalmitis Following Implantation of a Phakic Implantable Collamer Lens. J Vitreoretin Dis. 2020;5(3):258-260. Published 2020 Nov 4. doi:10.1177/2474126420968402