Abstract:
PURPOSE:To report a case series of post-phacoemulsification endophthalmitis despite antibiotic prophylaxis with an intracameral injection of a licensed cefuroxime formulation (Aprokam). SETTING:University Hospitals of Pointe-à-Pitre, Guadeloupe, and Fort-de-France, Martinique, French West Indies. DESIGN:Retrospective case series. METHODS:Patients who had cataract surgery with licensed cefuroxime prophylaxis between March 1, 2013, and July 31, 2015, and developed endophthalmitis were included. Bacteriologic findings and final corrected distance visual acuity 6 months after treatment were collected. RESULTS:Five patients developed endophthalmitis within 15 days after surgery, which was performed in different settings by different cataract surgeons. All patients had no-stich cataract surgery. Surgery was uneventful in 4 cases. One patient had a posterior capsule rupture. An anterior chamber paracentesis with analysis of the aqueous humor was performed to confirm endophthalmitis. Bacteriologic tests showed α-hemolytic streptococcus in 2 cases, Staphylococcus epidermidis in 1 case, and Serratia marcescens in 1 case. Two strains of bacteria showed cefuroxime resistance on the antibiogram. Despite parenteral and intravitreal injections of antibiotics, 4 of 5 cases had a poor outcome, with a visual acuity of less than 20/200. Retinal detachment (RD) was the most frequent complication observed in the following months. CONCLUSIONS:Although licensed cefuroxime has proven to be efficient in reducing the incidence of endophthalmitis, it has not eradicated this potentially severe complication of cataract surgery. Endophthalmitis occurring after the use of licensed cefuroxime can still result in very poor visual outcomes related to the infection itself or to its delayed complications such as RD. FINANCIAL DISCLOSURE:None of the authors has a financial or proprietary interest in any material or method mentioned.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Mesnard C,Beral L,Hage R,Merle H,Farès S,David Tdoi
10.1016/j.jcrs.2016.06.030subject
Has Abstractpub_date
2016-09-01 00:00:00pages
1318-1323issue
9eissn
0886-3350issn
1873-4502pii
S0886-3350(16)30293-0journal_volume
42pub_type
杂志文章abstract:PURPOSE:To determine depth of focus and visual quality after implantation of a diffractive intraocular lens (IOL) and a refractive IOL. SETTING:University Eye Clinic, Vienna, Austria. METHOD:This study comprised 10 eyes of 9 patients with a diffractive IOL (3M 825x + 4) and 13 eyes of 9 patients with a refractive len...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80262-9
更新日期:1998-05-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy and safety of an ab externo suture retrieval and scleral fixation technique in the treatment of subluxated posterior chamber intraocular lenses (PC IOLs). SETTING:Academic tertiary care centers. METHODS:Surgical databases from 2 surgeons were reviewed for consecutive cases from March ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.06.050
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:To compare the glare-type photic phenomena for a new intraocular lens (IOL) to other monofocal IOLs, and to investigate how IOL design features might affect these phenomena. SETTING:Alcon Laboratories, Inc., Fort Worth, Texas; John A Moran Eye Center, University of Utah, Salt Lake City, USA. DESIGN:Schematic ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.09.017
更新日期:2019-02-01 00:00:00
abstract:PURPOSE:To study the results of simultaneous photorefractive keratectomy (PRK) and corneal collagen crosslinking (CXL) in keratoconus after previous intrastromal corneal ring segment (ICRS) implantation. SETTING:Enaim Laser Center, Jerusalem, Israel. DESIGN:Case series. METHODS:This study comprised patients with mod...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.05.033
更新日期:2012-10-01 00:00:00
abstract:PURPOSE:Iris intraocular implants were developed to manage congenital or traumatic iris defects. However, they are also used to change the color of patient eyes. The aim of this retrospective series was to report complications in patients managed in France after cosmetic implantation. SETTING:Ophthalmological institut...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000032
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:To evaluate the importance of complete epithelial removal before riboflavin-ultraviolet-A (UVA) corneal collagen crosslinking therapy. SETTING:School of Optometry and Vision Sciences, Cardiff University, Wales, United Kingdom. METHODS:Riboflavin eyedrops were applied at 5-minute intervals for 35 minutes to th...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.02.002
更新日期:2008-04-01 00:00:00
abstract:PURPOSE:To evaluate the influence of preoperative variables and early postoperative intraocular pressure (IOP) on the loss of corneal endothelial cells after phacoemulsification in eyes with occludable angles. SETTING:Taipei Veterans General Hospital, Taipei, Taiwan. METHODS:Sixty patients with occludable angles havi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.07.057
更新日期:2008-01-01 00:00:00
abstract:UNLABELLED:We report a 66-year-old patient who presented with increasing hyperopia, astigmatism, and presbyopia in both eyes 8 years after bilateral laser in situ keratomileusis (LASIK) and LASIK enhancement in the left eye aiming for spectacle independence. Bilateral multifocal toric Lentis Mplus intraocular lenses (I...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.08.042
更新日期:2012-11-01 00:00:00
abstract:PURPOSE:To compare the efficacy of heparin-surface-modified (HSM), poly(methyl methacrylate) (PMMA) posterior chamber intraocular lenses (IOLs) with that of unmodified PMMA IOLs in reducing postoperative complications caused by inflammatory reactions after extracapsular cataract extraction in an Asian population. SETT...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0886-3350(96)80170-2
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To assess the outcomes of intrastromal ring segment (Intacs, Addition Technology) implantation for keratoconus using the femtosecond laser. SETTING:Kudret Eye Hospital, Ankara, Turkey. METHODS:In a retrospective noncomparative case series, 118 eyes of 69 patients with keratoconus who had Intacs segments impla...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.08.032
更新日期:2006-12-01 00:00:00
abstract:PURPOSE:To assess the outcomes in patients who required 1 or more vitreoretinal interventions for posterior segment complications arising from elective uneventful cataract surgery. SETTING:Tertiary referral center, single-center study. METHODS:A retrospective interventional case series included 56 consecutive patient...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.10.034
更新日期:2007-02-01 00:00:00
abstract::We evaluated two topical cyclo-oxygenase inhibitors (COIs), 0.03% flurbiprofen and 1% indomethacin, for their ability to prevent pseudophakic cystoid macular edema (CME). The study was a randomized, double-masked, vehicle-controlled, parallel group, clinical trial for six months at eight sites in Canada and two in Ger...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0886-3350(13)80484-1
更新日期:1995-01-01 00:00:00
abstract::We compared the effect of biconvex and convex-plano (posterior plano) intraocular lenses on posterior capsule opacification (PCO) following continuous curvilinear capsulorhexis (CCC) in 212 eyes. During the three years following surgery, the cumulative frequency of neodymium:YAG laser posterior capsulotomy, calculated...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80569-x
更新日期:1995-11-01 00:00:00
abstract::A 66-year-old Chinese man developed corneal endothelial decompensation after intraocular lens (IOL) repositioning using intracameral epinephrine was performed. The presentation was compatible with toxic endothelial cell destruction syndrome, which is caused by prolonged, direct exposure of the corneal endothelium to r...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.05.059
更新日期:2008-11-01 00:00:00
abstract::The accuracy of intraocular lens (IOL) power calculation was evaluated in a multicenter study of 822 IOL implantations using the Binkhorst II, Sanders/Retzlaff/Kraff (SRK I, SRK II, SRK/T), Holladay, and Olsen formulas. All but the first of these were optimized in retrospect with calculation of the SRK A-constant, the...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/s0886-3350(13)80140-x
更新日期:1995-05-01 00:00:00
abstract:PURPOSE:To compare the outcomes of implantation of 2 models of intrastromal corneal ring segments (ICRS) to manage keratoconus. SETTING:Kartal Training and Research Hospital, Istanbul, Turkey. METHODS:This study evaluated eyes with keratoconus that had implantation of Keraring ICRS (Group A) or Intacs ICRS (Group B)....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.12.031
更新日期:2010-06-01 00:00:00
abstract::We present 4 cases of anterior capsule contraction syndrome in which progressive shrinkage of the anterior capsulorhexis developed after uneventful phacoemulsification. Three eyes were pseudophakic, and 1 eye remained aphakic. The newly formed membrane was surgically peeled from the anterior capsule, restoring the cap...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.08.034
更新日期:2004-04-01 00:00:00
abstract:PURPOSE:To analyze anterior segment structure changes during accommodative stimuli after monofocal intraocular lens (IOL) implantation using 2 ultrasound biomicroscopy (UBM) systems. SETTING:Department of Ophthalmology, University of Verona, Verona, Italy. METHODS:Twenty-six eyes (23 patients) with 1 of 4 monofocal I...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.02.018
更新日期:2008-06-01 00:00:00
abstract::The effect of incision length, location, and shape on the structural integrity of the globe was examined using finite element analysis by comparing the radial deformation of the corneoscleral tissue adjacent to the incision. The results show that incision length had the greatest adverse effect, 12 mm incisions causing...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80879-6
更新日期:1990-01-01 00:00:00
abstract:PURPOSE:To evaluate the short-term outcomes of femtosecond laser-assisted implantation of a 340-degree intracorneal ring (ICR) (Keraring) in patients with keratoconus. SETTING:Four centers in Iran. DESIGN:Prospective case series. METHODS:All cases had implantation of the 340-degree ICR after tunnel creation with a f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.07.026
更新日期:2017-10-01 00:00:00
abstract:PURPOSE:To evaluate the implantation of Artisan/Verisyse phakic intraocular lenses (pIOLs) (Advanced Medical Optics) as an effective and safe method for the correction of high myopia. SETTING:Department of Ophthalmology, John A. Moran Eye Center, University of Utah Medical Center, Salt Lake City, Utah, USA. METHODS:T...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.04.009
更新日期:2007-08-01 00:00:00
abstract:PURPOSE:To evaluate the influence of posterior corneal astigmatism on total corneal astigmatism in patients with 1.00 diopter (D) or more of corneal astigmatism. SETTING:Private practice, Bologna, Italy. DESIGN:Prospective case series. METHODS:Corneal astigmatism was measured using a Scheimpflug camera combined with...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.01.046
更新日期:2014-10-01 00:00:00
abstract::A 22-year-old woman presented with pain, redness, watering, and decrease in vision in her left eye 15 days after laser in situ keratomileusis for myopia. Slitlamp examination showed a central full-thickness infiltrate with hyphate edges. Microscopic examination of corneal scrapings from the edge and underneath the fla...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00459-9
更新日期:2000-04-01 00:00:00
abstract:PURPOSE:To compare the susceptibility and efficacy of 3 fluoroquinolones, (levofloxacin, gatifloxacin, and moxifloxacin) in treating conjunctival bacteria in patients having ocular surgery. SETTING:Osaka University Hospital, Osaka, and Tohoku University Hospital, Miyagi, Japan. METHODS:Eyes of patients were examined ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.11.049
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:To evaluate the effect of a fixed combination of brimonidine-timolol on intraocular pressure (IOP) after phacoemulsification cataract surgery. SETTING:Department of Ophthalmology, Patras University Hospital, Patras, Greece. DESIGN:Prospective randomized comparative case series. METHODS:Patients scheduled for...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jcrs.2010.08.046
更新日期:2011-02-01 00:00:00
abstract::Visual acuity and contrast sensitivity after cataract surgery were evaluated in best-case eyes that received a Storz bifocal zonal intraocular lens (IOL) or a 3M diffractive multifocal IOL. A group of eyes with a monofocal IOL was used as a control. Postoperatively, all eyes had a best corrected visual acuity of 20/40...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80536-6
更新日期:1995-07-01 00:00:00
abstract::We report 3 cases of Descemet's membrane detachment detected 2 to 3 weeks after surgery that was treated by intracameral injection of perfluoropropane 14% (C(3)F(8)) isoexpansile mixture. We looked at the predisposing factors, the best method of treatment, and the final outcome in cases of Descemet's membrane detachme...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01919-3
更新日期:2003-06-01 00:00:00
abstract::This method of astigmatism analysis recognizes the need to define an astigmatism goal, thus allowing the surgeon to obtain precise, separate measures of the magnitude and the angle of surgical error. From this, the surgeon can evaluate what surgery may be required to achieve the initial preoperative goal. An index tha...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80617-7
更新日期:1993-07-01 00:00:00
abstract::Soon after the diagnosis of pellagra in a 20-year-old patient with beta thalassemia, bilateral intumescent cataracts rapidly developed. We believe the patient's crystalline lenses were at an increased oxidative state due to iron overload from the thalassemia. Depletion of the lens epithelial cells of an important anti...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.05.011
更新日期:2007-09-01 00:00:00
abstract:UNLABELLED:An 83-year-old man presented with a 1-year history of blurry vision in his left eye. Bilateral cataract surgery and ciliary sulcus posterior chamber intraocular lens (IOL) implantation had been performed 11 years earlier. The corrected distance visual acuity (CDVA) was 20/60 in the left eye. Slitlamp examina...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2015.09.013
更新日期:2015-10-01 00:00:00