Anterior Chamber Contamination at the Conclusion of Phacoemulsification

  • Mohammad-Reza Soleimani Rafsanjan Medical University, Rafsanjan, Iran
  • Bahram Einollahi Shahid Beheshti University, M.C.
  • Mohammad-Ali Javadi Shahid Beheshti University, M.C.
  • Peyman Torbati Shahid Beheshti University, M.C.
  • Mohammad-Reza Jafarinasab Shahid Beheshti University, M.C.
  • Farid Karimian Shahid Beheshti University, M.C.
  • Mohammad Zare Shahid Beheshti University, M.C.
  • Ali Sharifi Kerman Medical University, Kerman, Iran
  • Mehran Nikkhoo Kerman Medical University, Kerman, Iran

Abstract

Purpose: To evaluate anterior chamber aspirates at the conclusion of phacoemulsification and intraocular lens implantation (PE+IOL) for bacterial and fungal contamination. 

Methods: We prospectively evaluated 80 eyes of 80 patients undergoing routine PE+IOL by performing bacterial and fungal culture on aspirates obtained from the anterior chamber at the end of the surgery.

Results: Anterior chamber fluid aspirates were positive for bacteria in 5 eyes (6.33%) with coagulase-negative staphylococcus being the most common organism (three eyes). No instance of positive fungus culture was observed. One of the culture-positive eyes developed postoperative uveitis which resolved during a week of treatment with topical corticosteroids and antibiotics.  None of the eyes developed endophthalmitis.

Conclusion: In the current series, the rate of anterior chamber contamination by bacteria at the end of phacoemulsification was in the lower range reported by previous studies.  

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Original Articles