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March 1993

Bacterial Endophthalmitis Following Sutureless Cataract Surgery

Author Affiliations

From the Departments of Ophthalmology (Drs Miller and Glasgow) and Pathology (Dr Glasgow), Jules Stein Eye Institute, UCLA School of Medicine, Los Angeles, Calif.

Arch Ophthalmol. 1993;111(3):377-379. doi:10.1001/archopht.1993.01090030095047

• 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.