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July 1992

Iris Nodule and Intralenticular Abscess Associated With Propionibacterium acnes Endophthalmitis

Author Affiliations

Nashville, Tenn

Arch Ophthalmol. 1992;110(7):921-922. doi:10.1001/archopht.1992.01080190027012

Propionibacterium acnes has a welldocumented affinity for the crystalline lens and lens capsule. We recently treated a patient who developed a lens abscess with an inflammatory iris nodule 6 months after a penetrating ocular injury.

Report of a Case.  —A 29-year-old white man suffered a penetrating injury to his left eye with a fishhook. On examination, the patient was noted to have a full-thickness corneal laceration. A small laceration of the anterior lens capsule was also noted. The corneal laceration was repaired and subconjunctival injections of cefazolin sodium and gentamicin sulfate were administered. Cultures of the aqueous for aerobic bacteria and fungi revealed no growth.The postoperative course was uneventful. Six months later, the patient noted the onset of redness and pain in his left eye. A small hypopyon was present. He was treated for presumed phacoantigenic uveitis with 1% prednisolone acetate eyedrops and a mydriatic every hour. The hypopyon

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