title: Pseudomonas aeruginosa endophthalmitis caused by contamination of the internal fluid pathways of a phacoemulsifier.
abstract: OBJECTIVE
  To report 4 cases of Pseudomonas aeruginosa endophthalmitis caused by internal contamination of the internal pathways of a phacoemulsifier.
  
  
  METHODS
  Ophthalmology Center, Perpignan, France.
  
  
  METHODS
  Four clinical cases of postoperative endophthalmitis occurred after phacoemulsification. An investigation was necessary to prove the cause of the bacteriological contamination.
  
  
  RESULTS
  Serotyping and ribotyping of the Pseudomonas aeruginosa strains obtained from the vitreous samples and from the phacoemulsifier showed that all these strains were identical and that the initial site of the contamination was the phacoemulsifier.
  
  
  CONCLUSIONS
  The profession should be cognizant of this cause of endophthalmitis, although its occurrence is rare. Cataract surgeons should test samples from the collection bags of their phacoemulsifiers to ensure there is no bacteriological contamination.
authors: Ophthalmology Center 8, Perpignan, France.
authors: S
authors: S
authors: Zaluski
authors: H M
authors: HM
authors: Clayman
authors: G
authors: G
authors: Karsenti
authors: S
authors: S
authors: Bourzeix
authors: A
authors: A
authors: Tournemire
authors: B
authors: B
authors: Faliu
authors: C
authors: C
authors: Gulian
authors: F
authors: F
authors: Grimont
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000032:analysis; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004866:Equipment Contamination; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects* / Q000295:instrumentation; D011552:Pseudomonas Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011550:Pseudomonas aeruginosa / Q000235:genetics / Q000276:immunology / Q000302:isolation & purification*; D012329:RNA, Bacterial / Q000032:analysis; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014822:Vitreous Body / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D012329:RNA, Bacterial