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July 1965

Infections and Retina Surgery: II. Incidence and Significance of Positive Wound Site Cultures

Author Affiliations

From the Department of Clinical Eye Research, Institute of Biological and Medical Sciences, Retina Foundation; and the Department of Ophthalmology, Massachusetts Eye and Ear Infirmary. Research Associate, Retina Foundation, and Assistant in Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School.

Arch Ophthalmol. 1965;74(1):45-47. doi:10.1001/archopht.1965.00970040047011

In a previous study a systematic bacteriological survey was performed during operation in 20 cases of retinal detachment. The surgical technique used was a scleral buckling with silicone implant and polyester fiber sutures. After preparation of the operative field positive cultures were obtained, in every case, at two or more of the seven culture sites selected.1 These results prompted the taking of a culture in the wound site in all cases of scleral buckling with silicone implant at the termination of the operation, just before closure of Tenon's capsule and conjunctiva. The objective was to alert the surgeon as to the possibility of postoperative infection should the culture grow pathogenic bacteria. The purpose of this paper is to show the frequency of various bacterial contaminants in the wound site at the end of surgery and to discuss the significance of these findings with regard to the occurrence of infection

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