Bacterial endophthalmitis following sutureless cataract surgery.
We examined a patient who developed group G streptococcal endophthalmitis following phacoemulsification with intraocular lens implantation and sutureless wound closure. Pathologic examination of the enucleated globe 1 month after surgery revealed an intense suppurative reaction centered in the anterior chamber and an open surgical wound filled with fibrinopurulent granulation tissue. Inadequate draping, a high number of instruments passing into and out of the eye during surgery, and wound testing for water tightness with viscoelastic substance in the eye were observed on a videotape of the surgery.
Miller
K M
KM
Department of Ophthalmology, Jules Stein Eye Institute, UCLA 90024-7002.
Glasgow
B J
BJ
D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects*; D009877:Endophthalmitis / Q000209:etiology* / Q000382:microbiology; D015818:Eye Infections, Bacterial / Q000209:etiology*; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D013290:Streptococcal Infections / Q000209:etiology*; D013536:Suture Techniques