From: Delayed-onset endophthalmitis associated with corneal suture infections
Case number | 1 | 2 | 3 | 4 | 5 | 6 |
---|---|---|---|---|---|---|
Sex/age (years) | Female, 71 | Male, 70 | Female, 36 | Male, 72 | Female, 73 | Male, 74 |
Year | 1996 | 1997 | 1999 | 2004 | 2007 | 2009 |
Prior surgery | PKP | PKP | PKP | PKP | PKP | CE.IOL |
Location of suture abscess | Inferonasal | Superotemporal | Superotemporal | Superotemporal | Superotemporal | Superotemporal |
Suture technique | Running | Interrupted | Interrupted | Running | Interrupted | Interrupted |
Responsible organism | Streptococcus pyogenes | Streptococcus pneumoniae | Streptococcus pneumoniae | Streptococcus agalactiae | Streptococcus salivarius | Serratia marcescens |
Cornea culture result | Positive | Positive | Positive | Positive | Positive | Positive |
Suture culture result | Not performed | Not performed | Not performed | Not performed | Positive | Positive |
Anterior chamber culture result | Not performed | Not performed | Positive | Positive | Not performed | Not performed |
Vitreous culture result | Positive | Positive | Not performed | Not performed | Positive | Positive |
Contributing mechanism to suture abscess and endophthalmitis | Loose suture manipulated | Loose suture removed | None identified | Broken running suture | Loose suture removed | None identified |
Time from prior surgery to suture abscess diagnosis | 59 days | 1,324 days | 713 days | 873 days | 365 days | 58 days |
Time from suture manipulation or complication to endophthalmitis diagnosis | 5 days | 5 days | NA | 4 days | 57 days | NA |
Topical steroid use at presentation | Prednisolone acetate 1% qid | Prednisolone acetate 1% tid | Prednisolone acetate 1% q1h | Prednisolone acetate 1% qid | Prednisolone acetate 1% bid | Prednisolone acetate 1% qid |
Lens status | Pseudophakic | Pseudophakic | Pseudophakic | Pseudophakic | Pseudophakic | Pseudophakic |
Intact posterior capsule | Yes | Yes | Yes | No | No | No |
Corneal perforation | Yes | No | Yes | Yes | No | No |