title: MANAGEMENT OF MYCOBACTERIUM CHELONAE ENDOPHTHALMITIS WITH COMPLETE SURGICAL DEBRIDEMENT.
abstract: OBJECTIVE
  To report the clinical course and histopathologic findings of two consecutive patients with resolution of Mycobacterium chelonae endophthalmitis and favorable visual outcomes after complete removal of intraocular implants and lens capsular complexes and prolonged sensitivity-guided combination antibiotic therapy.
  
  
  METHODS
  Medical records and histopathologic findings were reviewed for two consecutive patients with M. chelonae endophthalmitis.
  
  
  RESULTS
  Two consecutive patients with M. chelonae endophthalmitis had prolonged clinical courses with refractory endophthalmitis before complete removal of intraocular implants and lens capsular complexes. One patient had histopathologic evidence of lens remnant-associated acid-fast bacilli.
  
  
  CONCLUSIONS
  Surgical explantation of intraocular implants and lens capsular complexes appears to play an important role in the management of M. chelonae endophthalmitis, which may be closely associated with crystalline lens remnants.
authors.affiliation: Departments of *Ophthalmology, Mayo Clinic, Rochester, Minnesota; and †Pathology, Mayo Clinic, Rochester, Minnesota.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Barkmeier
authors.forename: Diva M
authors.initials: DM
authors.lastname: Salomao
authors.forename: Keith H
authors.initials: KH
authors.lastname: Baratz
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D009877:Endophthalmitis / Q000382:microbiology / Q000628:therapy*; D015818:Eye Infections, Bacterial / Q000382:microbiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents