Anterior Chamber Aspirate Cultures After Uncomplicated Cataract Surgery

Autor: James B. Dickey, W. M. Jay, Kenneth D. Thompson
Rok vydání: 1991
Předmět:
Zdroj: American Journal of Ophthalmology. 112:278-282
ISSN: 0002-9394
DOI: 10.1016/s0002-9394(14)76728-5
Popis: We cultured anterior chamber aspirates of 30 patients who had uncomplicated extracapsular cataract extraction or phacoemulsification. The aspirate was obtained at the time of wound closure. Of 30 patients, 13 (43%) had culture-positive anterior chamber aspirates. The total number of organisms recovered was 18, with three patients having multiple organisms identified. The most commonly isolated organisms were coagulase-negative Staphylococcus sp., occurring in eight of 18 isolates (44%). No eyes in our study developed endophthalmitis, even though almost one half had viable organisms growing from the anterior chamber aspirates. Inoculum sizes were extremely small (10 to 20 colony-forming units/ml). This study suggests that in humans, the anterior chamber is capable of clearing a low inoculum of bacteria after cataract surgery without the development of endophthalmitis.
Databáze: OpenAIRE