Postoperative inflammation following cataract extraction caused by bacterial contamination of the cleaning bath detergent
| Autor: | Stephen S. Martin, Craig W. Young, Kenneth R. Kreisler, Nick Mamalis, Chad W. Anderson |
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| Rok vydání: | 1992 |
| Předmět: |
Male
medicine.medical_specialty genetic structures medicine.medical_treatment Detergents Intraocular lens Cataract Extraction Eye Infections Bacterial Cataract extraction Medicine Humans Aged Retrospective Studies Aged 80 and over Lenses Intraocular Endophthalmitis business.industry Phacoemulsification Sterilization (microbiology) Toxic anterior segment syndrome medicine.disease eye diseases Sensory Systems Surgery Klebsiella Infections Ophthalmology Klebsiella pneumoniae Capsular bag Equipment Contamination Female sense organs Postoperative inflammation business Clearance Disinfectants |
| Zdroj: | Journal of cataract and refractive surgery. 18(1) |
| ISSN: | 0886-3350 |
| Popis: | Five of 16 patients who had uncomplicated cataract extraction with intraocular lens (IOL) implantation within a 2.5 day period experienced increased anterior segment inflammation on their first postoperative day. Four of these five patients had phacoemulsification and one a planned extracapsular cataract extraction. All had posterior chamber IOL implantation in the capsular bag. In all patients, this anterior segment inflammation cleared with topical steroids over two to three weeks with no evident residual ocular effects. A careful search for the possible cause of the inflammation showed that the ultrasonic cleaning bath and Weck liquid detergent used to clean the instruments contained Klebsiella pneumoniae bacteria. Further investigation demonstrated the presence of a heatstable endotoxin produced by the bacteria. We postulate that endotoxin remaining on the instruments after cleaning and sterilization caused this postoperative anterior segment inflammation. To the best of our knowledge, these are the first reported cases caused by contamjnated liquid detergent. |
| Databáze: | OpenAIRE |
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