Abstract | BACKGROUND: METHODS: RESULTS: It was found that 14 patients suffered from postoperative endophthalmitis in 14 eyes. Among them there were 5 cases with rupturing of posterior lens capsule. Postoperative endophthalmitis was culture-positive in 7 cases. After treatment, 5 patients had a visual acuity of 2.0 or above, 4 patients experienced the perception of light or hand movement, and the remaining 5 patients had lost light perception (2 cases ultimately had optic atrophy, and ophthalmectomy was performed on 3 eyes). INTERPRETATION:
Endophthalmitis after phacoemulsification surgery led to severe vision loss and blindness, although its incidence was low (0.02%) in this study. The most common organism isolated was Staphylococcus epidermidis, and rupturing of the posterior capsule was one of the main risk factors. Early diagnosis and treatment restored visual acuity in several cases, and improved phacoemulsification technique, including sterilization, helped reduce the incidence of endophthalmitis.
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Authors | Xiangrong Cao, Aizhen Liu, Jing Zhang, Yang Li, Ying Jie, Weihua Liu, Yanjun Zeng |
Journal | Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
(Can J Ophthalmol)
Vol. 42
Issue 6
Pg. 844-8
(Dec 2007)
ISSN: 0008-4182 [Print] England |
PMID | 18033327
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Aged
- Anti-Bacterial Agents
(administration & dosage)
- Aqueous Humor
(microbiology)
- Bacteria
(isolation & purification)
- China
(epidemiology)
- Endophthalmitis
(epidemiology, etiology, prevention & control)
- Eye Infections, Bacterial
(epidemiology, etiology, prevention & control)
- Female
- Humans
- Incidence
- Lens Implantation, Intraocular
- Male
- Middle Aged
- Phacoemulsification
(adverse effects)
- Postoperative Complications
- Retrospective Studies
- Risk Factors
- Visual Acuity
- Vitreous Body
(microbiology)
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