Microbial contamination of the anterior chamber during cataract phacoemulsification and intraocular lens implantation in dogs.

作者: Eric C. Ledbetter , Nicholas J. Millichamp , Joan Dziezyc

DOI: 10.1111/J.1463-5224.2004.04011.X

关键词: PhacoemulsificationSurgeryIntraocular lensEndophthalmitisConjunctivaEye infectionAerobic bacteriaEyelidNasal cavityMedicine

摘要: The objective of this study was to determine the frequency intraoperative contamination anterior chamber with viable microorganisms during cataract phacoemulsification and intraocular lens implantation, evaluate relationship contaminant patients' extraocular nasal cavity floras. Also, impact various aspects patient history procedure on incidence positive postoperative cultures investigated. Twenty-two eyes from 13 dogs presented for elective implantation were studied. Preoperatively, microbiologic samples conjunctiva, eyelid margins, nares, rostral collected. Postoperatively, fluid aspirated. Samples submitted aerobic/anaerobic bacteriologic culture antimicrobial susceptibility, Mycoplasma culture, fungal culture. Anterior aspirates collected at conclusion surgery least one organism in 22.7% eyes. Three aerobic bacteria three fungi isolated aspirates. Two bacterium typed identically, had a similar antibiogram organisms recovered patient's conjunctiva margin. No statistically significant difference found investigated surgical variables. We conclude that bacterial is common occurrence canine patients undergoing external ocular flora likely source some these contaminating microorganisms. This independent variables

参考文章(38)
Gwin Rm, Andresen Tl, Samuelson Da, Conjunctival fungal flora in horses, cattle, dogs, and cats. Javma-journal of The American Veterinary Medical Association. ,vol. 184, pp. 1240- 1242 ,(1984)
B J Mondino, H Rao, Complement levels in normal and inflamed aqueous humor. Investigative Ophthalmology & Visual Science. ,vol. 24, pp. 380- 384 ,(1983)
William T. Driebe, Sid Mandelbaum, Richard K. Forster, Lee K. Schwartz, William W. Culbertson, Pseudophakic Endophthalmitis Ophthalmology. ,vol. 93, pp. 442- 448 ,(1986) , 10.1016/S0161-6420(86)33722-9
AR Anand, HN Madhavan, KL Therese, Spectrum of aetiological agents of postoperative endophthalmitis and antibiotic susceptibility of bacterial isolates. Indian Journal of Ophthalmology. ,vol. 48, pp. 123- ,(2000)
E McCray, N Rampell, S L Solomon, W W Bond, W J Martone, D O'Day, Outbreak of Candida parapsilosis endophthalmitis after cataract extraction and intraocular lens implantation. Journal of Clinical Microbiology. ,vol. 24, pp. 625- 628 ,(1986) , 10.1128/JCM.24.4.625-628.1986
Raymond E. Records, Peter C. Iwen, Experimental bacterial endophthalmitis following extracapsular lens extraction Experimental Eye Research. ,vol. 49, pp. 729- 737 ,(1989) , 10.1016/S0014-4835(89)80034-X
G C Vafidis, R J Marsh, A R Stacey, Bacterial contamination of intraocular lens surgery. British Journal of Ophthalmology. ,vol. 68, pp. 520- 523 ,(1984) , 10.1136/BJO.68.8.520
D M O'Day, W S Head, R D Robinson, An outbreak of Candida parapsilosis endophthalmitis: analysis of strains by enzyme profile and antifungal susceptibility. British Journal of Ophthalmology. ,vol. 71, pp. 126- 129 ,(1987) , 10.1136/BJO.71.2.126
P. N. Dilly, Holmes P.J. Sellors, Bacterial adhesion to intraocular lenses Journal of Cataract and Refractive Surgery. ,vol. 15, pp. 317- 320 ,(1989) , 10.1016/S0886-3350(89)80092-6