Research article summary (published 29 Sep 2009):

Culture-positive endophthalmitis after implantation of intraocular Collamer lens.

Full Abstract

We report a case of culture-positive bacterial endophthalmitis following implantation of a Staar intraocular Collamer lens (ICL). The patient presented 4 days after uneventful sutureless surgery with decreased visual acuity, redness, and photosensitivity. Inflammation increased over the next 24 hours, which prompted a tap for culture and intravitreal injection of antibiotic agents. Vitreous culture was positive for coagulase-negative Staphylococcus epidermidis. One year postoperatively, the uncorrected distance visual acuity was 20/20; persistent anterior vitreous opacities were the only observable sequelae. Bacterial endophthalmitis is a potential complication of ICL implantation. It can be successfully diagnosed and treated if a high degree of suspicion is maintained and if appropriate diagnostic and treatment modalities are used.

Author information

Author/s: Davis, Michael J (MJ); Epstein, Randy J (RJ); Dennis, Richard F (RF); Cohen, Jack A (JA);

Affiliation: Rush University Medical Center, Chicago, Illinois, USA.

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg), published in United States. (Language: eng)

Reference: 2009-Oct; vol 35 (issue 10) : pp 1826-8

Dates: Created 2009/09/28; Completed 2009/10/30;

PMID: 19781481, status: MEDLINE (last retrieval date: 10/30/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult Anti-Bacterial Agents - therapeutic use Drug Therapy, Combination Endophthalmitis - diagnosis; drug therapy; microbiology Eye Infections, Bacterial - diagnosis; drug therapy; microbiology Female Fluoroquinolones - therapeutic use Glucocorticoids - therapeutic use Humans Lens Implantation, Intraocular

Lens Implantation, Intraocular Lenses, Intraocular Microsurgery - methods Postoperative Complications Prednisolone - therapeutic use Staphylococcal Infections - diagnosis; drug therapy; microbiology Staphylococcus epidermidis - isolation & purification Vancomycin - therapeutic use Visual Acuity Vitreous Body - microbiology

Associated Chemicals: Anti-Bacterial Agents (0) ; Fluoroquinolones (0) ; Glucocorticoids (0) ; gatifloxacin (112811-59-3) ; Vancomycin (1404-90-6) ; Prednisolone (50-24-8)

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