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Alcaligenes xylosoxidans endophthalmitis following phacoemulsification and intraocular lens implantation

Abstract : 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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Soumis le : jeudi 23 juillet 2009 - 15:55:59
Dernière modification le : dimanche 26 juin 2022 - 13:23:00


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



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, Slack, 2008, 39 (6), pp.500-504. ⟨hal-00406906⟩



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