INTRAOCULAR GENTAMICIN SULFATE AND POSTCATARACT ANTERIOR-CHAMBER ASPIRATE CULTURES

被引:25
作者
DICKEY, JB
THOMPSON, KD
JAY, WM
机构
[1] The Department of Ophthalmology, Loyola University Medical Center, Maywood, Illinois
[2] Hines Veterans Administration Hospital, Hines, Illinois
[3] Department of Clinical Microbiology, Loyola University Medical Center
关键词
ANTERIOR CHAMBER ASPIRATE CULTURE; CATARACT SURGERY; ENDOPHTHALMITIS; GENTAMICIN SULFATE; INTRAOCULAR IRRIGATION; PHACOEMULSIFICATION;
D O I
10.1016/S0886-3350(13)80169-1
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
We cultured anterior chamber aspirates of 28 patients who had uncomplicated cataract surgery. Fourteen patients had received 80 mug/ml of gentamicin in balanced salt solution through irrigation of the anterior chamber throughout cataract extraction, and 14 patients had received 8 mug/ml of gentamicin. Cultures of anterior chamber fluid obtained at the end of surgery from all 28 patients had no growth on two nonselective media. There was no clinical evidence of ocular toxicity. This study demonstrates that antibiotic in the intraocular irrigation fluid can reduce or eliminate the expected intraocular bacterial load after cataract surgery.
引用
收藏
页码:373 / 377
页数:5
相关论文
共 33 条
[11]  
Christy NE, Sommer A, Antibiotic prophylaxis of postoperative endophthalmitis, Ann Ophthalmol, 11, pp. 1261-1265, (1979)
[12]  
Gills JP, Filters and antibiotics in irrigating solution for cataract surgery (letter), J Cataract Refract Surg, 17, (1991)
[13]  
Gills JP, Prevention of endophthalmitis by intraocular solution filtration and antibiotics, Am Intra-Ocular Implant Soc J, 11, pp. 185-186, (1985)
[14]  
Peyman GA, Schulman JA, Intravitreal Surgery
[15]  
Principles and Practice, pp. 412-413, (1986)
[16]  
Suenderhauf U, Kayser FH, Waespe B, Prevalence and characterization of resistance to gentamicin in gram-negative bacteria, Microbios, 17, pp. 221-226, (1976)
[17]  
Conway BP, Campochiaro PA, Macular infarction after endophthalmitis treated with vitrectomy and intravitreal gentamicin, Arch Ophthalmol, 104, pp. 367-371, (1986)
[18]  
Waltz K, Margo CE, Intraocular gentamicin toxicity (correspondence), Arch Ophthalmol, 109, (1991)
[19]  
Judson PH, Aminoglycoside macular toxicity after subconjunctival injection, Arch Ophthalmol, 107, pp. 1282-1283, (1989)
[20]  
McDonald HR, Schatz H, Allen AW, Et al., Retinal toxicity secondary to intraocular gentamicin injection, Ophthalmology, 93, pp. 871-877, (1986)