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Anterior Chamber Contamination at the Conclusion of Phacoemulsification

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Author(s): Mohammad-Reza Soleimani | Bahram Einollahi | Mohammad-Ali Javadi | Peyman Torbati | Mohammad-Reza Jafarinasab | Farid Karimian | Mohammad Zare | Ali Sharifi | Mehran Nikkhoo

Journal: Journal of Ophthalmic & Vision Research
ISSN 2008-2010

Volume: 2;
Issue: 1;
Start page: 19;
Date: 2008;
Original page

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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