Bacterial anterior chamber contamination with foldable silicone lens implantation using a forceps and an injector.
OBJECTIVE
To compare the rate of anterior chamber (AC) contamination during implantation of a foldable three-piece silicone lens using a forceps and an injector.


METHODS
Department of Ophthalmology, University of Saarland, Homburg (Saar), Germany.


METHODS
In a prospective, randomized study, we cultured AC aspirates of patients who had phacoemulsification with silicone lens implantation through a 3.5 mm temporal clear corneal incision. In Group A, the lens was implanted with a forceps and in Group B, with an injector. Immediately after lens implantation, the AC aspirate (0.05 to 0.10 ml) was collected and sent to the microbiology department. All cultures were incubated for 3 days. As a topical antibiotic, gentamicin was given preoperatively and intraoperatively.


RESULTS
One hundred patients (50 in each group) were examined. In each group the bacterial contamination of the AC was 2%.


CONCLUSIONS
Bacterial contamination of the AC was not significantly different after silicone lens implantation with a forceps and with an injector.
Weindler
J
J
Department of Ophthalmology, University of Saarland, Homburg (Saar), Germany.
Spang
S
S
Jung
W K
WK
Ruprecht
K W
KW
D000368:Aged; D000867:Anterior Chamber / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D004866:Equipment Contamination; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology*; D005839:Gentamicins / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007910:Lenses, Intraocular / Q000382:microbiology*; D009883:Ophthalmic Solutions; D018918:Phacoemulsification / Q000295:instrumentation*; D011446:Prospective Studies; D012826:Silicone Elastomers; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology*; D013212:Staphylococcus epidermidis / Q000302:isolation & purification
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D009883:Ophthalmic Solutions; D012826:Silicone Elastomers