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February 1993

Influence of Haptic Materials on the Adherence of Staphylococci to Intraocular Lenses

Author Affiliations

From the Cornea Service, Department of Ophthalmology (Drs Raskin, Speaker, and Menikoff and Mr Wong) and Department of Pathology and Laboratory Medicine (Dr McCormick and Ms Pelton-Henrion), The New York (NY) Eye and Ear Infirmary. The authors have no commercial or proprietary interest in any manufacturer of intraocular lenses or intraocular lens material.

Arch Ophthalmol. 1993;111(2):250-253. doi:10.1001/archopht.1993.01090020104032

• A recent case-control study indicated that the insertion of an intraocular lens with polypropylene (Prolene) haptic materials was a significant risk factor for postoperative endophthalmitis (odds ratio=4.5, P<.01). In the present study, we used quantitative techniques to evaluate adherence of Staphyloccocus epidermidis to two intraocular lens types—lenses with polypropylene haptic materials and all-polymethyl methacrylate optic and three-piece all-polymethyl methacrylate lenses—using a quantitative culture method, a radioisotope technique, and scanning electron microscopy. All three methods demonstrated approximately twice as many bacteria adherent to lenses with polypropylene haptic materials as to all-polymethyl methacrylate lenses. Scanning electron microscopy showed preferential bacterial adherence to the polypropylene haptic materials. These data provide a pathogenic mechanism to explain our epidemiologic findings of an increased risk of postoperative endophthalmitis associated with implantation of intraocular lenses with polypropylene haptic materials.

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