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December 1970

Anterior Chamber ParacentesisDiagnostic Value in Postoperative Endophthalmitis

Author Affiliations

Stanford, Calif; San Francisco
From the Department of Surgery/Ophthalmology, Stanford School of Medicine (Drs. Allansmith and Skaggs), Stanford, Calif, and the Francis I. Proctor Foundation for Research in Ophthalmology, University of California (Dr. Kimura), San Francisco.

Arch Ophthalmol. 1970;84(6):745-748. doi:10.1001/archopht.1970.00990040747009

The results of 115 anterior chamber paracenteses were reviewed. Of these, 14 had been performed for diagnostic purposes in postoperative endophthalmitis. Cultures of aqueous from five of the 14 were positive. Staphylococcus aureus was recovered from three, paracolon bacillus from one, and Bacillus subtilis from one. A polymorphonuclear cell reaction characterized all cases of postoperative endophthalmitis from which bacteria were recovered. Since one third of the eyes with postoperative endophthalmitis in this series contained culturable bacteria, we consider anterior chamber paracentesis a valuable tool in the diagnosis of the etiology of postoperative endophthalmitis.