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

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

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