Intraocular lens implants and risk of endophthalmitis. Issue 11 (1st November 1998)

• Record Type: Journal Article
• Authors: Bainbridge, J W B; Teimory, M; Tabandeh, H; Kirwan, J F; Dalton, R; Reid, F; Rostron, C K
• Is Part Of: British journal of ophthalmology. Volume 82:Issue 11(1998)
• Page Start: 1312
• Page End: 1315
• Publication Date: 1998-11-01
• Subjects: cataract surgery -- phacoemulsification -- intraocular lenses -- endophthalmitis; Ophthalmology -- Periodicals; 617.7
• DOI: 10.1136/bjo.82.11.1312
• Languages: English
• ISSNs: 0007-1161

Abstract

Abstract : AIM: To investigate the possible association between the use of three piece foldable silicone polypropylene (SPP) intraocular lenses (IOLs) and an increased risk of postoperative endophthalmitis. METHODS: A retrospective analysis was conducted of all cases of postoperative endophthalmitis following phacoemulsification surgery in a single unit over a 3 year period. The incidence of postoperative endophthalmitis in eyes with SPP IOLs was compared with the incidence in eyes with single piece polymethylmethacrylate (PMMA) IOLs. RESULTS: 772 cataract extractions by phacoemulsification were performed. One (0.16%) of the 622 patients with PMMA IOLs developed endophthalmitis. Excluding one patient who had aplastic anaemia, five (3.33%) of 150 patients with SPP IOLs developed endophthalmitis. The relative risk for postoperative endophthalmitis associated with the use of the SPP IOL compared with the PMMA IOL was 20.1 (p=0.015). CONCLUSION: This study adds further evidence to the concept that SPP IOLs can be a significant risk factor in the development of postoperative endophthamitis.