• We examined a patient who developed group G streptococcal endophthalmitis following phacoemulsification with intraocular lens implantation and sutureless wound closure. Pathologic examination of the enucleated globe 1 month after surgery revealed an intense suppurative reaction centered in the anterior chamber and an open surgical wound filled with fibrinopurulent granulation tissue. Inadequate draping, a high number of instruments passing into and out of the eye during surgery, and wound testing for water tightness with viscoelastic substance in the eye were observed on a videotape of the surgery.
Miller KM, Glasgow BJ. Bacterial Endophthalmitis Following Sutureless Cataract Surgery. Arch Ophthalmol. 1993;111(3):377-379. doi:10.1001/archopht.1993.01090030095047