Abstract
Twentyfour patients, who had marked reduction of vision due to secondary-cataract developed after an ECCE, were treated by surgical cleaning of the posterior lens capsule. During this procedure globular secondary-cataract material was removed and collected for morphological examination by SEM and TEM. Fragments of various sizes and shapes, including some with a ‘golfball’ structure, were seen; these closely resembled particles frequently found in cataractous lenses. In addition, in 18 patients micro-organisms were found: rod-shaped bacteria, cocci, and in 2 cases yeasts. These findings were the more remarkable because these were clinically quiet eyes with no signs of intra-ocular inflammation and cultures have been persistently negative. We imagine that these bacteria must have entered the eye during the cataract extraction and have settled there without causing an infection.
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Jongebloed WL, Dijk F, Kruis J, Worst JGF. Soemmering's ring, an aspect of secondary cataract: A morphological description by SEM. Doc Ophthalmol 1988; 70: 165–70.
Jongebloed WL, van der Veen G, Dijk F, Worst JGF. Secondary cataract material collected with a glass cannula: a SEM study. Doc Ophthalmol 1990; 75: 359–64.
Jongebloed WL, van der Veen G, Kalicharan D, Rijneveld WJ, Houtman WA, Worst JGF. Reaction of the rabbit corneal endothelium to nylon sutures: A SEM study. Doc Ophthalmol 1990; 75: 351–58.
Jongebloed WL, Kalicharan D, Los LI, van der Veen G, Worst JGF. A combined scanning and transmission electronmicroscopic investigation of human (secondary) cataract material. Doc Ophthalmol 1991; 78: 325–34.
Sawusch MR, McDonnell P. Posterior capsule opacification. Current Opinion in Ophthalmology 1990; 1: 28–33.
Worst JGF, Los LI. Some aspects of implant surgery. Eur J Implant Ref Surg 1991; 3: 157–67.
Cusumano A, Massimo B, Spitznas M. Is chronic intraocular inflammation after lens implantation of bacterial origin? Ophthalmol 1991; 11: 1703–10.
Apple DJ, Mamalis N, Lottfield K, et al. Complications of intraocular lenses: A histological and histopathological review. Surv Ophthalmol 1984; 29: 1–54.
Hunter JW. Early postaphative sterile hypopyons. Br J Ophthalmol 1978; 62: 470–73.
Jongebloed WL, Figueras MJ, Humalda D, Blanksma LJ, Worst JGF. Mechanical and biochemical effects of man-made fibres and metals in the human eye: A SEM study. Doc Ophthalmol 1986; 61: 304–12.
Galin MA, Goldstein IM, Tuberville A, et al. Intraocular lenses generate chemotactic activity in human serum. Binkhorst Lecture Part II. Arch Ophthalmol 1981; 99: 1434–35.
Kenneth LP, Apple DJ, Kincaid MC, et al. Localized endophthalmitis: A newly described cause of so-called toxic lens syndrome. J Cataract Refract Surg 1987; 13: 498–510.
Neumann AC. Particulate and microbial contamination of intraocular irrigation solutions. J Cataract Refract Surg 1986; 12: 485–88.
Wirostko E, Johnson L, Wirostko B. Postinflammatory cataracts in the mouse: Induction by human mycoplasma-like organisms. Br J Ophthalmol 1991; 75: 671–74.
Meisler DM, Palestine AG, Vastine DW, et al. Chronic propionibacterium endophthalmitis after extracapsular cataract extraction and intraocular lens implantation. Am J Ophthalmol 1986; 102: 733–39.
Pettit TH, Olson RJ, Foos RY, et al. Fungal endophthalmitis following intraocular lens implantation; surgical epidemic. Arch Ophthalmol 1980; 98: 1025–39.
Stern WH, Tamura E, Jacobs RA, et al. Epidemic postsurgical candida parapsilosis endophthalmitis: Clinical findings and management of 15 consecutive cases. Ophthalmology 1985; 92: 1701–9.
Driebe WT, Mandelbaum S, Forster RK, et al. Pseudophakic endophthalmitis: Diagnosis and management. Ophthalmology 1986; 93: 442–498.
Walker CB, Claoué Cm. Incidence of conjunctional colonization by bacteria capable of causing postoperative endophthalmitis. J Soc Med 1986; 79: 520–21.
Jaffe GJ, Whitcher JP, Biswell R, et al. Propionibacterium acnes endophthalmitis seven months after extracapsular cataract extraction and intraocular lens implementation. Ophthalmic Surg 1986; 17: 791–93.
Samples JR, Buider PS. Contamination of migrating solution used for cataract surgery. Ophthalmic Surg 1984; 15: 66.
O'Day DM. Value of a centralized surveillance system during a national epidemic of endophthalmitis. Ophthalmology 1985; 92: 309–15.
Neumann AC, Dzelzkalns JJ, Bessinger DJ. J Cataract Refract Surg 1991; 17: 353–58.
Meltner DW. Sterile hypopyon following intraocular lens surgery. Arch Ophthalmol 1980; 98: 100–104.
Richburg FA, Reidy JJ, Apple DJ, et al. Sterile hypopyon secondary to ultrasonic cleaning solution. J Cataract Refrac Surg 1986; 12: 248–51.
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Kalicharan, D., Jongebloed, W.L., Los, L.I. et al. (An)aerobic bacteria found in secondary-cataract material. Doc Ophthalmol 82, 125–133 (1992). https://doi.org/10.1007/BF00157002
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DOI: https://doi.org/10.1007/BF00157002