Bacillus-induced endophthalmitis: new series of 10 cases and review of the literature.

Hemady, Ramzi K.; Zaltas, Mandi M.; Paton, Barbara G.; Foster, C. Stephen; Baker, Ann Sullivan

doi:10.1136/bjo.74.1.26

Cited by 67 publications

(23 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These injuries may lead to endophthalmitis, caused by a specific spectrum of microorganisms. Despite advances in the use of intraocular antibiotics, prognosis is very poor (Hemady et al 1990). The precise diagnosis may pose problems, due to confusion in the early stages with inflammation attributable to the wound itself.…”

mentioning

confidence: 99%

Endophthalmitis following penetrating eye injuries

Duch-Samper

Menezo

Hurtado-Sarrió

1997

Acta Ophthalmologica Scandinavica

View full text Add to dashboard Cite

ABSTRACT. Postinjury endophthalmitis is the eye infection with the worst prognosis. A retrospective 9-year study was made of penetrating eye injuries, with an analysis of the incidence of infection and its relation to the type of wound and the presence of intraocular foreign bodies. There were 403 cases of penetrating eye injury; of these, 233 affected the cornea and 170 involved the posterior pole. Intraocular foreign bodies were present in 40 cases. Endophthalmitis developed in 4.2% of cases (17/403), and was more common in patients with posterior pole involvement (7%) than in purely corneal trauma (2.1%) (p = 0.03, Chi-square). Infection was in turn more frequent in the presence of intraocular foreign bodies (15%)) (p = 0.17, Chi-square). Staphylococcus epidermidis was the most common cause (23.4%), while in three cases (17.6%) mixed infection was detected. The visual results were evisceration or non-perception of light in 82.3% of cases.

show abstract

mentioning

confidence: 99%

Endophthalmitis following penetrating eye injuries

Duch-Samper

Menezo

Hurtado-Sarrió

1997

Acta Ophthalmologica Scandinavica

View full text Add to dashboard Cite

show abstract

“…Bacillus species have been reported to occur after trauma, but also after glaucoma and cataract surgery, involving contaminated irrigating solutions or OVDs. [7][8][9][10][11][12] Culture of the OVD used to load the lens in the first case described here was not performed. In any event, with intra-and postoperative antibiotic therapy, the postoperative course of the case was uneventful, and only corneal oedema was observed during the first postoperative week.…”

Section: Marketing Personal Communication November 2003)mentioning

confidence: 99%

Intraoperative explantation of two single-piece hydrophobic acrylic intraocular lenses due to surface deposits

Hickman

Werner

Mamalis

et al. 2005

Eye

View full text Add to dashboard Cite

Purpose To report clinical, pathological, and laboratory analyses of two cases of singlepiece hydrophobic acrylic intraocular lenses (IOLs), which presented with significant surface deposits during implantation. Methods The lenses were implanted with the manufacturer's recommended injector (loaded with Viscoat s and Healon GV s , respectively). Immediately after injection into the anterior chamber, areas on the lenses' surfaces were covered by deposits, which could not be entirely removed by irrigation/aspiration. The lenses were explanted and replaced with lenses of the same design. They underwent gross analyses, light microscopy, scanning electron microscopy, and energy dispersive X-ray spectroscopy for analysis of the elemental composition of the deposits. Liquid chromatography/mass spectroscopy was also performed to identify the presence of proteins. Results The deposits on the first lens had a granular appearance, forming a homogeneous layer mostly on the posterior lens surface. Larger crystal-like deposits were present mostly on the anterior surface of the second lens. Elemental analyses of the deposits in both cases revealed the presence of peaks of sodium, chloride, phosphate, and potassium, in addition to the peaks of carbon and oxygen (normal constituents of the lens material). Only protein components normally found in the anterior chamber during surgery, such as haemoglobin and albumin, were identified. Conclusions The results obtained suggest that the deposits in both cases may have resulted from crystallization of the ophthalmic viscosurgical device normally used during the loading of the IOLs into the cartridges.

show abstract

“…are ubiquitous gram-positive organisms that can infect ocular and adnexal tissues, leading to dacryocystitis, conjunctivitis, keratitis and iridocyclitis [40]. These aerobic or facultatively anaerobic sporulating rods are able to survive in diverse environments and may persist for years [40].…”

Section: Ocular Pathogens Which May Be Present In Contaminated Solutionsmentioning

confidence: 99%

“…For instance, Bacillus licheniformis , which is non-toxin-producing, may still produce severe, vision-threatening endophthalmitis. A study by Hemady et al [40]found cases of B. cereus as well as other Bacillus spp. causing endophthalmitis.…”

Section: Ocular Pathogens Which May Be Present In Contaminated Solutionsmentioning

confidence: 99%

See 1 more Smart Citation

Ocular Infections due to Contaminated Solutions

Micallef

Cuschieri²

2001

Ophthalmologica

View full text Add to dashboard Cite

Bacillus-induced endophthalmitis: new series of 10 cases and review of the literature.

Abstract: We reviewed the charts of 10 patients who were admitted to the Massachusetts Eye and Ear Infirmary over a 10-year period with the diagnosis of Bacillus species endophthalmitis.

Cited by 67 publications

References 22 publications

Endophthalmitis following penetrating eye injuries

Endophthalmitis following penetrating eye injuries

Intraoperative explantation of two single-piece hydrophobic acrylic intraocular lenses due to surface deposits

Ocular Infections due to Contaminated Solutions

Contact Info

Product

Resources

About