Scleral Buckle Infection Caused by Mycobacterium chelonae: A Case Report

Abstract

A 63-year-old female with a history of retinal detachment repair with scleral buckle from 28 years prior presented with exposure of the buckle in her right eye. After removing the buckle and anchoring sutures, the operation field was washed with 0.25% polyvinyl alcohol-iodine, vancomycin, and ceftazidime. Cultures revealed Mycobacterium chelonae . Systemic meropenem was discontinued on postoperative day 5. The retina remained attached, and there was no recurrence over a 1-year follow-up. We report a case of NTM buckle infection that responded well to thorough washings with polyvinyl alcohol-iodine and antibiotic solutions instead of using a prolonged course of systemic antibiotics.

A Scleral Buckle Infection Caused by Cutibacterium Acnes (formerly Propionibacterium Acnes) Following An Atypical, Indolent Course.

“…One of the most serious postoperative complications of scleral buckling surgery is scleral buckle infection. 5 Silicone elements can promote the development of a biofilm, which is believed to be responsible for scleral buckle infection even without signs of exposure. 6 In this case, we report a unique presentation of chronic scleral buckle infection, with atypical, mild symptoms, and growth of C. acnes from the explanted scleral buckle.…”

“…One of the most serious postoperative complications of scleral buckling surgery is scleral buckle infection. 5 Silicone elements can promote the development of a biofilm, which is believed to be responsible for scleral buckle infection even without signs of exposure. 6…”