ANTERIOR CHAMBER ASPIRATE CULTURES AFTER UNCOMPLICATED CATARACT SURGERY WITH OR WITHOUT INTRAOCULAR LENS IMPLANTATION

Dr. Parvez Ahmad Handoo; Prof. S. S. Sudan; Masarat Nowshad

Volume : VI, Issue : IX, September - 2016

ANTERIOR CHAMBER ASPIRATE CULTURES AFTER UNCOMPLICATED CATARACT SURGERY WITH OR WITHOUT INTRAOCULAR LENS IMPLANTATION

Dr. Parvez Ahmad Handoo, Prof. S. S. Sudan, Masarat Nowshad

Abstract :

We cultured anterior chamber aspirate of 100 patients who underwent uncomplicated extra capsular cataract extraction with or without intraocular lens implantation. The aspirate was obtained at the time of wound closure. Of 100 patients, 29 (29%) had culture positive anterior chamber aspirate. Incidence of culture positive anterior chamber aspirate was significantly higher (?2 = 4.3 of IP less than 0.5%) in eyes with intraocular lens implanted (42%) than those without intraocular lens implantation (22.38%). Staphylococcus was the commonest organism isolated (58.62%) followed by corynebacterium (20.60%). None of the cases in which positive anterior chamber aspirate was obtained, developed any unusual inflammation postoperatively. Antibiotic sensitivity pattern revealed ciprofloxacin to be 100% effective drug against bacterial flora. This study suggests that in the humans, the anterior chamber is capable of cleå a low inoculums of bacteria after cataract surgery without the development of endophthalmitis.