rss
Br J Ophthalmol 1998;82:1312-1315 doi:10.1136/bjo.82.11.1312
  • Original Article
    • Clinical science

Intraocular lens implants and risk of endophthalmitis

  1. J W B Bainbridgea,
  2. M Teimorya,
  3. H Tabandeha,
  4. J F Kirwana,
  5. R Daltona,
  6. F Reidb,
  7. C K Rostrona
  1. aDepartment of Ophthalmology, St George’s Hospital, London SW17 0QT, bDepartment of Medical Statistics, St George’s Hospital Medical School, London SW17 0QT
  1. Mr Teimory, Worthing Hospital, Lyndhurst Road, Worthing, West Sussex, BN11 2DH.
  • Accepted 7 May 1998

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.

Footnotes

    This Article

    1. Abstract
    2. Full text
    3. PDF

    Responses

    1. Submit a response
    2. No responses published

    Register for free content

    The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.