Bacterial endophthalmitis following sutureless cataract surgery
K. M. Miller and B. J. Glasgow
Department of Ophthalmology, Jules Stein Eye Institute, UCLA 90024-7002.
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.