title: Endophthalmitis after cataract surgery in eyes with small pupils managed by sector iridectomy and polypropylene suture closure.
abstract: Two patients with small pupils developed endophthalmitis following cataract surgery during which the small pupils were managed by sector iridectomy and closed with a polypropylene suture. Prior studies have reported that implantation of intraocular lenses (IOLs) with haptics made of polypropylene is associated with a higher risk of postoperative endophthalmitis than the use of IOLs with polymethylmethacrylate haptics. Endophthalmitis in the two patients reported herein was managed successfully without removal of the polypropylene suture; vision returned to 20/60 in one patient and 20/30 in the other patient. Iris retractors may represent a faster and safer alternative management option for small pupils than sector iridectomy closed with a polypropylene suture.
authors.affiliation: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33136, USA.
authors.forename: I U
authors.initials: IU
authors.lastname: Scott
authors.forename: H W
authors.initials: HW
authors.lastname: Flynn
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents; D001672:Biocompatible Materials; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction / Q000009:adverse effects*; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D009877:Endophthalmitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology; D005260:Female; D006801:Humans; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008297:Male; D009883:Ophthalmic Solutions; D011126:Polypropylenes; D011681:Pupil Disorders / Q000150:complications / Q000601:surgery*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology; D013290:Streptococcal Infections / Q000188:drug therapy / Q000209:etiology; D013536:Suture Techniques / Q000009:adverse effects* / Q000295:instrumentation; D014792:Visual Acuity
chemical_list: D000900:Anti-Bacterial Agents; D001672:Biocompatible Materials; D009883:Ophthalmic Solutions; D011126:Polypropylenes