En bloc capsulectomy in the diagnosis and treatment of refractory, chronic, recurrent pseudophakic endophthalmitis.
Anterior chamber and vitreous aspiration may fail to isolate a microorganism in chronic pseudophakic endophthalmitis. In some eyes, obtaining a portion of the central posterior lens capsule may assist in determining the infectious etiology of the endophthalmitis. We describe a technique by which the entire lens capsule and its internal contents are removed and cultured. This surgical method facilitated the isolation and eradication of the causative pathogen in a patient with chronic recurrent pseudophakic endophthalmitis that was diagnostically and therapeutically refractory to previous vitrectomy, posterior capsulectomy, and intravitreal antibiotic injection.
Thach
A B
AB
Department of Ophthalmology, University of Southern California School of Medicine, Los Angeles 90033.
Das
A
A
Lopez
P F
PF
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002908:Chronic Disease; D009877:Endophthalmitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000382:microbiology / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D012008:Recurrence; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents