Alcaligenes xylosoxidans endophthalmitis following phacoemulsification and intraocular lens implantation - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Ophthalmic Surgery, Lasers and Imaging Année : 2008

Alcaligenes xylosoxidans endophthalmitis following phacoemulsification and intraocular lens implantation

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Résumé

Five consecutive cases of endophthalmitis that developed after cataract extraction by a single surgeon using the same operating room during one morning session are described. Following preoperative topical administration of ciprofloxacin, surgery consisted of phacoemulsification with peristaltic pump and fluid venting, polymethylmethacrylate intraocular lens implantation, and corneal suture. No complications occurred during surgery. All five patients developed endophthalmitis caused by infection with Alcaligenes xylosoxidans in less than 24 hours. Pulsed-field gel electrophoresis was used to prove similarity between strains. Bacterial inquiry on contamination of the operating room environment revealed massive colonization of phacoemulsifier irrigation channels by Pseudomonas fluorescens bacteria from an unestablished source. Four of the five patients ultimately recovered visual acuity better than 20/60.
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Dates et versions

hal-00406906 , version 1 (23-07-2009)

Identifiants

  • HAL Id : hal-00406906 , version 1
  • PUBMED : 19065983

Citer

Pierre-Yves Robert, Delphine Chainier, Fabien Garnier, Marie-Cécile Ploy, Pierre Parneix, et al.. Alcaligenes xylosoxidans endophthalmitis following phacoemulsification and intraocular lens implantation. Ophthalmic Surgery, Lasers and Imaging, 2008, 39 (6), pp.500-504. ⟨hal-00406906⟩
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