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Ophthalmology 2022 May 17. Epub 2022 May 17.

Eye Center, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany. Electronic address:

Purpose: To assess the time course of secondary visual axis opacification (VAO) that led to additional surgery after primary intraocular lens (IOL) implantation in children and to describe further surgical outcomes. Comparison of different lens types.

Design: Single center, retrospective analysis of children aged 1-14 years who underwent cataract surgery with primary IOL implantation. Read More

Retina 2022 Jun 14;42(6):1144-1150. Epub 2022 Feb 14.

Eye Hospital of Shandong First Medical University, Jinan, Shandong, China.

Purpose: To analyze the incidence and risk factors of postoperative endophthalmitis after primary surgical repair and intraocular foreign body (IOFB) removal within 24 hours of injury.

Methods: The records of all patients treated surgically for open globe injury and IOFB removal at the Eye Hospital of Shandong First Medical University between January 1, 2015, and June 30, 2020, were retrospectively reviewed. Variables included time from injury to operation, cause of injury, details of surgical repair, and follow-up. Read More

Digit J Ophthalmol 2022 12;28(1):1-6. Epub 2022 Feb 12.

Department of Cataract and IOL services, Aravind Eye Hospital, Madurai, India.

Purpose: To identify predictors of visual outcome in patients with acute endophthalmitis following cataract surgery.

Methods: This cross-sectional study included consecutive patients with acute endophthalmitis following cataract surgery at our tertiary care center between January 2017 and June 2018. Baseline demographic details, surgical details, and treatment offered were extracted from the medical record, and patients were followed for 3 months after diagnosis and treatment for endophthalmitis. Read More

BMJ Open Ophthalmol 2022 Apr;7(1)

Department of Ophthalmology, University of Tsukuba, Clinical Medicine, Ibaraki, Japan.

Objective: To report the long-term postoperative outcomes of transsclerally sutured intraocular lenses (IOLs), in which the haptics were correctly fixated into the ciliary sulcus using an auxiliary device and endoscope.

Methods And Analysis: Data were collected from eyes that were followed up for at least 12 months after ciliary sulcus suture fixation of an IOL using an auxiliary device for securely placing the IOL haptics to the ciliary sulcus, which was confirmed using intraoperative endoscopy in all cases. The corrected distance visual acuity (CDVA), refractive error, anterior chamber depth (ACD), IOL decentration and tilt, corneal endothelial cell density (CECD) and postoperative complications were recorded. Read More

Rom J Ophthalmol 2022 Jan-Mar;66(1):55-60

Hashmanis Group of Hospitals, Karachi, Pakistan.

To evaluate the utility of intraoperative OCT and its influence on the surgeon's decision during vitreoretinal surgery. This was a pilot, prospective case series conducted at a tertiary care ophthalmology department in Lahore, Pakistan. Sixteen patients undergoing vitreoretinal surgeries were included using the microscope integrated intraoperative optical coherence tomography (IOCT). Read More

Pak J Med Sci 2022 Mar-Apr;38(3Part-I):657-662

Yasar Nakipoglu, Istanbul Faculty of Medicine, Department of Medical Microbiology, Istanbul University, Istanbul, Turkey.

Objectives: Coagulase-negative staphylococci (CNS) are commensal skin microbiota but may also cause septicemia, endocarditis, and systemic infections. , is a member of CNS, but their antibiotic susceptibility test should be evaluated as not as CNS. We aimed to investigate and selected CNS strains by simple biochemical method and determination of their susceptibilities to antibiotics. Read More

Klin Monbl Augenheilkd 2022 Apr 26;239(4):593-596. Epub 2022 Apr 26.

University Eye Hospital Basel, Basel, Switzerland.

Background: As studies have shown postsurgical polyvidone-iodine to be at least equal to postsurgical topical antibiotics, our postsurgical care regime was adjusted accordingly in 2017. Here, we retrospectively compared the postsurgical infection rate in patients who underwent strabismus surgery prior to and following this change in regimen in a routine clinical setting.

Patients And Methods: In this retrospective and explorative study, data from 162 adult patients who had undergone strabismus surgery was extracted from files: 98 patients who had received topical gentamycin in a combination ointment with steroid (postsurgery) followed by 1 week of topical gentamycin with nonsteroidal antiphlogistic eye drops for 1 week (group 1) and 64 who had received polyvidone-iodine once immediately postsurgically instead. Read More

Ophthalmic Plast Reconstr Surg 2022 Apr 25. Epub 2022 Apr 25.

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, U.S.A.

A 59-year-old woman presented with iritis and uveitis in the OD approximately 3 weeks after she underwent a bilateral upper and lower blepharoplasty by an outside oculoplastic specialist. Examination revealed a visual acuity of hand motion in the OD, scleral ulceration suspicious for prior globe perforation, dense vitritis, and loculations and membranes on echography. The patient was diagnosed with acute onset exogenous endophthalmitis. Read More

Cochrane Database Syst Rev 2022 04 25;4:CD013270. Epub 2022 Apr 25.

University Eye Clinic Maastricht, Maastricht University Medical Centre, Maastricht, Netherlands.

Background: Age-related cataract affects both eyes in most cases. Most people undergo cataract surgery in both eyes on separate days, referred to as delayed sequential bilateral cataract surgery (DSBCS). An alternative procedure involves operating on both eyes on the same day, but as two separate procedures, known as immediate sequential bilateral cataract surgery (ISBCS). Read More

Am J Ophthalmol Case Rep 2022 Jun 12;26:101524. Epub 2022 Apr 12.

Department of Ophthalmology, Kansai Medical University, Japan.

Purpose: To evaluate the efficacy of identifying the bacteria by aqueous sampling and vitreous sampling in postoperative infectious endophthalmitis using 16S ribosomal RNA (rRNA) gene analysis with a nanopore sequencer (MinION™).

Observation: A 55-year-old woman who underwent cataract surgery at an ophthalmology clinic 18 days ago was referred to our hospital for suspected endophthalmitis. She had light perception visual acuity in her right eye; however, the eye was severely inflamed, with a hypopyon and a fibrinous membrane in the anterior chamber. Read More

BMJ Case Rep 2022 Apr 22;15(4). Epub 2022 Apr 22.

Ophthalmology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.

An 86-year-old man with diabetes and a history of prostate cancer, indwelling urinary catheter and bacteriuria presented on day 4 post left phacoemulsification cataract extraction and intraocular lens implant with signs and symptoms of postoperative endophthalmitis. Vitreous sample was positive for Prompt treatment with intravitreal antibiotics was initiated followed by anterior chamber washout with pars plana vitrectomy; however, the visual outcome was poor. Read More

J AAPOS 2022 Apr 15. Epub 2022 Apr 15.

Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California. Electronic address:

A total of 167 cases (0.111%) of infectious complications (endophthalmitis, orbital cellulitis, preseptal cellulitis, and postoperative infection) were identified in patients after strabismus surgery. The incidence of postoperative endophthalmitis was approximately 1 per 13,700 strabismus surgeries (0. Read More

Ophthalmol Ther 2022 Jun 18;11(3):1261-1271. Epub 2022 Apr 18.

Department of Ophthalmology, Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, No.639, Zhizaoju Road, Huangpu District, 200011, Shanghai, China.

Introduction: A novel technique of using a sandwich-like structure, namely, an oral mucosa graft (OMG)-conjunctiva in situ-dermis-fat graft (DFG) (OMG-C-DFG), to reconstruct a contracted and low-capacity anophthalmic socket for a patient with ocular infection history was evaluated.

Methods: This was retrospective case study of four patients (cases) who underwent anophthalmic socket reconstruction surgery in which the OMG-C-DFG technique was applied. The procedures were performed in the Department of Ophthalmology at the Ninth People's Hospital, Shanghai JiaoTong University School of Medicine (Shanghai, China). Read More

Arq Bras Oftalmol 2022 Mar 7. Epub 2022 Mar 7.

Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey.

Purpose: To describe the frequency, clinical characteristics, complications, and management of glaucoma in eyes that underwent keratoprosthesis implantation.

Methods: Patients who underwent keratoprosthesis surgery between June 2010 and January 2020 were retrospectively evaluated for glaucoma association and prognoses.

Results: Among 17 patients who underwent keratoprosthesis surgery, 9 (52. Read More

Arq Bras Oftalmol 2022 19;85(2):216-217. Epub 2022 Feb 19.

University of New South Wales, Sydney, Australia.

Ocul Immunol Inflamm 2022 Apr 11:1-4. Epub 2022 Apr 11.

Department of Ophthalmology & Vision Sciences, University of Toronto, Toronto, ON, Canada.

Background: To report a rare case of fungal keratitis and endophthalmitis due to .

Methods: Case report.

Results: A 71-year-old immunocompetent male sustained a corneal laceration, traumatic cataract, and retinal detachment due to penetrating injury from a nail pulled from a wooden deck. Read More

Retina 2022 Apr 6. Epub 2022 Apr 6.

Department of Ophthalmology, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou First People's Hospital, Eye Institute of Xuzhou. Xuzhou Daxue Road, No.269, Jiangsu, China.

Purpose: To explore the effectiveness, safety and psychological impact of foldable capsular vitreous body (FCVB) implantation for complicated retinal detachment caused by severe ocular trauma.

Methods: This was a prospective, single-arm, surgical interventional case series study. A standard 3-port 23-gauge pars plana vitrectomy was performed, and the FCVB was implanted into the vitreous cavity. Read More

Am J Ophthalmol Case Rep 2022 Jun 25;26:101500. Epub 2022 Mar 25.

John A. Moran Eye Center, University of Utah, 65 N Mario Capecchi, Salt Lake City, UT, 84132, USA.

Purpose: We report a case of chronic post-operative endophthalmitis secondary to () in a patient with an implantable collamer lens (ICL).

Observations: A 45-year-old male presented three months after ICL implantation of the right eye with blurry vision, redness, and ocular pain in the setting of prolonged post-operative anterior chamber (AC) cell. Reduced visual acuity (VA) at 20/30-1, keratic precipitates, 1+ AC cell, and white ICL precipitates were concerning for chronic post-operative endophthalmitis. Read More

Transl Vis Sci Technol 2022 Apr;11(4)

Department of Ophthalmology and Visual Science, Kochi Medical School, Kochi University, Kochi, Japan.

Purpose: Post-cataract surgery bacterial endophthalmitis is a serious postoperative complication, and Enterococcus spp.-induced endophthalmitis reportedly has a particularly poor visual prognosis. This study aimed to demonstrate the prophylactic effect of postoperative intracameral phage administration in Enterococcus faecalis-induced endophthalmitis after cataract surgery in rabbits. Read More

Acta Ophthalmol 2022 Mar 29. Epub 2022 Mar 29.

Faculty of Medicine and Health, Department of Ophthalmology, Örebro University, Örebro, Sweden.

Purpose: The objective of this study was to evaluate the possibility of analysing quality indicators for uncomplicated primary rhegmatogenous retinal detachment in a hospital department of ophthalmology without the support of a national registry or need to collect data from referring ophthalmological centres.

Methods: In 2014, we operated 231 consecutive eyes with uncomplicated retinal detachment. Our quality indicators were primary anatomical success, final anatomical success and postoperative endophthalmitis. Read More

Clin Ophthalmol 2022 19;16:861-865. Epub 2022 Mar 19.

Department of Ophthalmology, Duke University Medical Center, Durham, NC, USA.

Purpose: The purpose of this study is to determine whether ReSure hydrogel sealant is superior to standard suture for closure of clear corneal incisions in the setting of combined glaucoma procedures.

Setting: Glaucoma Department, Duke University Eye Center.

Design: This is a retrospective case series. Read More

Cureus 2022 Feb 8;14(2):e22003. Epub 2022 Feb 8.

Ophthalmology, Unaizah College of Medicine, Qassim University, Unaizah, SAU.

Postoperative endophthalmitis is a serious complication that can happen after cataract surgery. It occurs mainly due to invasion of the globe by microbial flora, bacteria, or fungi from the adnexa and environment during the time of surgery. All patients undergoing cataract surgery should be evaluated for any potential risk factors that can enhance the development of postoperative endophthalmitis; managing the intraoperative risk and prophylaxis protocols should be considered in order to reduce the risk of endophthalmitis. Read More

Klin Monbl Augenheilkd 2022 Mar 23. Epub 2022 Mar 23.

Klinik für Augenheilkunde, Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Homburg, Germany.

Purpose: To establish the importance of using a sufficiently large corneal graft in primary penetrating keratoplasty in order to prevent recurrence of fungal keratitis.

Oberservations: A 58-year-old female patient underwent emergency penetrating keratoplasty (diameter 7.0 mm, double running suture) for therapy-resistant fungal keratitis () at an external eye clinic. Read More

BMC Infect Dis 2022 Mar 18;22(1):265. Epub 2022 Mar 18.

Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, No. 5, Fuxing St., Gueishan Dist., Taoyuan City, 333, Taiwan.

Background: Postvitrectomy endophthalmitis is a rare and serious complication following vitreoretinal surgeries. Morganella morganii, an emerging gram-negative, facultative anaerobic rod, is related to severe nosocomial infections in various organs and thus has gained importance in recent decades. Morganella morganii infection following intraocular surgery is rarely reported. Read More

Ophthalmic Surg Lasers Imaging Retina 2022 03 1;53(3):164-167. Epub 2022 Mar 1.

This article describes two cases of delayed-onset () endophthalmitis 1 month after cataract surgery manifesting with unusual epiretinal deposits. Both patients were referred for persistent inflammation after cataract surgery. After failing to respond to a vitreous tap with injection of antibiotics, the patients underwent pars plana vitrectomy and in one of the cases partial posterior capsulectomy for a posterior capsular plaque. Read More

Ophthalmic Surg Lasers Imaging Retina 2022 03 1;53(3):148-151. Epub 2022 Mar 1.

Background And Objective: The purpose of this article is to describe a cluster of four cases of severe postoperative inflammation in eyes that received intraoperative indocyanine green (ICG) from the same lot.

Patients And Methods: This was a retrospective chart review of patients from a single-center, retina-only group practice. The ICG lot associated with the inflammatory events was identified and analyzed with high-performance liquid chromatography with UV spectroscopy. Read More

Int J Retina Vitreous 2022 Mar 7;8(1):18. Epub 2022 Mar 7.

Hospital São Geraldo/Hospital das Clínicas da Universidade Federal de Minas Gerais, Av. Alfredo Balena 190. Sala 199, Belo Horizonte, MG, 30130-100, Brazil.

We report three cases of refractory chronic endophthalmitis after cataract surgery presenting to a referral center, and with repeated negative cultures. Initial treatment consisted of intravitreal and systemic antibiotics, with partial improvement. After subsequent worsening, pars plana vitrectomy, intraocular lens explantation and en bloc capsulectomy were performed. Read More

Graefes Arch Clin Exp Ophthalmol 2022 Mar 7. Epub 2022 Mar 7.

Division for Dry-Eye and Ocular GvHD, Department of Ophthalmology, Medical Faculty, University and University Hospital of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany.

Purpose: To evaluate the outcome of phacoemulsification in patients with chronic ocular Graft-versus-host disease (oGVHD) after allogeneic hematopoietic stem cell transplantation (aHSCT).

Methods: Retrospective, observational multicenter study from 1507 oGVHD patients. From the patient files, data were collected including best-corrected visual acuity (BCVA), intraocular pressure (IOP), Schirmer's test I, tear film break-up time (TFBUT), corneal fluorescein staining score, postoperative complications, and pre- and post-operative topical therapy. Read More

Clin Pract Cases Emerg Med 2022 Feb;6(1):37-40

The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio.

Introduction: Endophthalmitis is a rare intraocular infection caused by numerous organisms from several possible sources. Fungal endophthalmitis is a rare subset of this pathology with limited diagnostics available. One of the few options to make this diagnosis is vitreous sampling, which is invasive, and results are not immediately available. Read More

Indian J Ophthalmol 2022 Mar;70(3):768-777

Retina-Vitreous Service, GMR Varalakshmi Campus, Vishakhapatnam, Andhra Pradesh, India.

Fungal endophthalmitis is a potentially blinding condition. It is more often reported from Asia, including India. The incidence is lower than bacterial endophthalmitis. Read More