Direct aspiration of capsular bag material in a case of sequestered endophthalmitis.
Chronic recurrent endophthalmitis can occur following uncomplicated cataract surgery with intraocular lens implantation secondary to organisms sequestered in the capsular bag. There is a need to identify these sequestered organisms to facilitate appropriate management. Frequently, specimens from the anterior chamber and vitreous cavity could be unyielding, especially in the early cases in which the vitreous is still uninvolved. This article highlights the technique of directly sampling the capsular bag material in the effective diagnosis of the organism, which facilitates the total cure by irrigation with appropriate antibiotics into the capsular bag.
Gopal
Lingam
L
Sri Bhagwan Mahaveer Vitreoretinal Services, Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, India. drlg@snmail.org
Nagpal
Amit
A
Verma
Aditya
A
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001707:Biopsy, Needle; D004269:DNA, Bacterial / Q000032:analysis; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000382:microbiology*; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D016133:Polymerase Chain Reaction; D011425:Propionibacterium acnes / Q000235:genetics / Q000302:isolation & purification*; D019591:Pseudophakia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014640:Vancomycin / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D014640:Vancomycin