2008 OMIG, Abstract 5

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Culture-positive Endophthalmitis after Implantation of a Staar Intraocular Collamer Lens
Michael J. Davis, M.D.^1,3, Randy J. Epstein, M.D.^1,2, Jack A. Cohen, M.D.^1,3, Richard F. Dennis, M.D.^1,2.
¹Rush University Medical Center, Department of Ophthalmology
²Chicago Cornea Consultants, Chicago, IL. ³Illinois Retina Associates, Chicago, IL

Purpose: To report the first case of culture-positive bacterial endophthalmitis following implantation of a Staar Intraocular Colamer Lens
Methods: Case Report
Results/Conclusions: We report herein the first case of culture-positive bacterial endophthalmitis following implantation of a Staar Intraocular Collamer Lens (ICL) in the United States.  We are aware of other cases of possible endophthalmitis, including one that was culture-negative in the U.S.; however, details have not been published.  Our patient presented four days after uneventful, sutureless surgery with decreased visual acuity, redness and photosensitivity.  Inflammation increased over the next 24 hours, which prompted a tap for culture and intra-vitreal antibiotics.  Vitreous culture was positive for coagulase-negative Staphylococcus epidermidis.  Two weeks after presentation, her vision had improved to 20/20, and she had mild anterior vitreous cells, which were slowly dissipating.  Endophthalmitis is an unfortunate potential complication of any form of intraocular surgery, which can lead to loss of vision.  However, it can be successfully diagnosed and treated if a high degree of suspicion is maintained and if appropriate treatment is promptly instituted.

There is no grant or financial support for this investigation.
Disclosure code: N