Spectrum of clear corneal incision cataract wound infection

Kehdi, Elias; Watson, Stephanie; Francis, Ian C.; Chong, I Robert; Bank, Allan; Coroneo, Minas T.; Dart, John K.G.

doi:10.1016/j.jcrs.2005.02.033

Cited by 16 publications

(13 citation statements)

References 19 publications

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“…This helps prevent possible contamination of the anterior chamber or wound by the accidental introduction of minute metallic or fiber particles. 21,22 In conclusion, povidone-iodine, even without the use of topical antibiotics, was an effective disinfectant. Contamination levels of the conjunctiva decreased significantly after its application.…”

Section: Discussionmentioning

confidence: 86%

Bacterial contamination in the anterior chamber after povidone–iodine application and the effect of the lens implantation device

Bausz

Fodor

Resch

et al. 2006

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 86%

Bacterial contamination in the anterior chamber after povidone–iodine application and the effect of the lens implantation device

Bausz

Fodor

Resch

et al. 2006

Journal of Cataract and Refractive Surgery

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“…Even though the diagnosis of infectious keratitis is usually presumptive and the treatment usually empirical, the laboratorial identification of the causative agent should always be pursued, in order to ensure a more specific treatment, to help guide eventual therapeutic modifications and to minimize any visual impairment due to a wrong or delayed diagnosis (2) . The incidence of different causative agents vary largely according to the geographical region, socioeconomic condition of the population and many individual factors such as contact lens use (3)(4)(5) , history of trauma (6)(7) or past ocular surgery (8)(9)(10)(11)(12)(13) , presence of comorbidities (14)(15)(16) , and age of the patient (17) , among many others. Several studies have been published regarding the epidemiologic aspects of infectious keratitis on the five continents, both in developed and developing countries (18)(19)(20)(21)(22)(23)(24) .…”

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confidence: 99%

Microbial keratitis in the elderly: a 32-year review

Passos¹,

Cariello²,

Yu³

et al. 2010

Arq. Bras. Oftalmol.

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Purpose: To describe the demographic characteristics, associated factors and causative agents of infectious keratitis in the elderly in a tertiary referral center in São Paulo, Brazil. Methods: A retrospective review of all patients aged 60 years and over with a presumptive diagnosis of infectious keratitis who had material collected for microbiological analysis, between the years 1975 and 2007 (32-year span). Results: From a total of 7,060 age-independent cases of microbial keratitis, 1,545 cases in the elderly were reviewed, which had a mean age of 71.0 ± 7.8 years, ranging from 60 to 101 years. There were 707 males (45.6%) and 838 females (54.3%). Associated factors were: past ocular surgery (25.1%), ocular trauma (7.2%) and contact lens use (3.0%). Bacterioscopy was positive in 40.5% of cases. Culture positivity for any agent was 53.5% (bacteria 47.0%, fungi 6.1%, Acanthamoeba 0.4%). The most frequent bacteria were the grampositive cocci (mostly coagulase-negative Staphylococci) and gram-negative bacilli (mostly the genera Pseudomonas, Moraxella and Proteus), while the most frequent fungi were the filamentous (mostly the genus Fusarium). Conclusions: This study represents a large series of microbial keratitis in the elderly in a single referral center. The most important factor associated with this condition in the elderly was past ocular surgery. The most frequent causative agents were bacteria, especially gram-positive cocci and gram-negative bacilli. Keywords

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“…The only 2 related studies 8,11 report corneal infections leading to endophthalmitis after extracapsular cataract surgery. In addition, Kehdi et al 14 and Cosar et al 15 report a combined 12 patients with corneal wound infections after sutureless clear corneal cataract surgery. In our 3 cases, appropriate treatment prevented potentially visually devastating outcomes.…”

Section: Discussionmentioning

confidence: 99%

Suture-related corneal infections after clear corneal cataract surgery

Lee

Smith

Jeng

2009

Journal of Cataract and Refractive Surgery

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Three patients at our institution developed corneal infections associated with sutures placed after clear corneal incision cataract surgery. The time to infection was 9 weeks, 22 months, and 33 months. One patient required injection of intravitreal antibiotic agents for presumed endophthalmitis associated with the corneal infection. Two patients were treated with topical fortified antibiotic eyedrops only. Although there was no significant change in visual acuity after resolution of the infection, morbidity from suture-related corneal infections can be significant. Routine suture removal in the early postoperative period may be warranted to prevent such infections.

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Spectrum of clear corneal incision cataract wound infection

Cited by 16 publications

References 19 publications

Bacterial contamination in the anterior chamber after povidone–iodine application and the effect of the lens implantation device

Bacterial contamination in the anterior chamber after povidone–iodine application and the effect of the lens implantation device

Microbial keratitis in the elderly: a 32-year review

Suture-related corneal infections after clear corneal cataract surgery

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