title: Bilateral endophthalmitis after bilateral sequential phacoemulsification.
abstract: An 81-year-old woman had uneventful bilateral sequential phacoemulsification using a separate sterile technique for each eye. Despite this, early culture-positive postoperative endophthalmitis developed. Management included bilateral intravitreal antibiotic agents, and the patient achieved an excellent visual outcome. To our knowledge, this is the third reported case of bilateral endophthalmitis after bilateral sequential phacoemulsification and the first reported case in which a separate sterile technique was used in each eye.
authors.affiliation: Department of Ophthalmology, Salisbury Hospital, Salisbury, United Kingdom. narmathan@hotmail.com
authors.forename: Narman
authors.initials: N
authors.lastname: Puvanachandra
authors.forename: Roger C
authors.initials: RC
authors.lastname: Humphry
mesh_terms: D000369:Aged, 80 and over; D000890:Anti-Infective Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D019654:Lens Implantation, Intraocular; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013212:Staphylococcus epidermidis / Q000302:isolation & purification*
chemical_list: D000890:Anti-Infective Agents