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To report a case of Propionibacterium acnes endophthalmitis following uncompli cated cataract extraction with bacterial sequestration in a preexisting Molteno ’s drainage implant. Interventional case report. A 7 year old girl with conge nital glaucoma and a preexisting Molteno’s drainage implant developed anterior nongranulomatous uveitis 4 months following cataract surgery. P. acnes endophtha lmitis was diagnosed by polymerase chain reaction, Southern blot, and electron m icroscopy. Extraction of the Moltenos implant was required to control the pers istent intraocular inflammation and to convert the results of polymerase chain r eaction and Southern blot testing of aqueous sample for P. acnes from positive t o negative. P. acnes may be sequestered in glaucoma implants, potentially requir ing implant removal to treat cases of P. acnes endophthalmitis.
To report a case of Propionibacterium acnes endophthalmitis following uncompli cated cataract extraction with bacterial sequestration in a preexisting Molteno ’s drainage implant. Interventional case report. A 7 year old girl with conge nital glaucoma and a preexisting Molteno’s drainage implant developed anterior nongranulomatous uveitis 4 months following cataract surgery. P. acnes endophtha lmitis was diagnosed by polymerase chain reaction, Southern blot, and electron m icroscopy. Extraction of the Molteno s implant was required to control the pers istent intraocular inflammation and to convert the results of polymerase chain reaction and Southern blot testing of aqueous samples for P. acnes from positive to negative. P. acnes may be sequestered in glaucoma implants, potentially requir ing implant removal to treat cases of P. acnes endophthalmitis.