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Increased incidence of endophthalmitis after vitrectomy relative to face mask wearing during COVID-19 pandemic
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  • Published on:
    Increased incidence of endophthalmitis after vitrectomy relative to face mask wearing during COVID-19 pandemic
    • Raul Velez-Montoya, Retina Surgeon Retina Division. Asociación para Evitar le Ceguera en México IAP. México City. 04030 México
    • Other Contributors:
      • Jorge I. Soberanes-Perez, Retina Fellow
      • Kingston Ureña-Wong, Retina Fellow
      • Manuela Franco-Sanchez, Retina Fellow
      • Jans Fromow-Guerra, Retina Surgeon

    Dear Editor.

    We read with interest the manuscript published by Sakamoto et al, on behalf of the Japanese Retina and Vitreous Society, titled: Increased incidence of endophthalmitis after vitrectomy relative to face mask-wearing during COVID-19 pandemic”.[1] In this manuscript, the authors discuss their results after comparing the total prevalence of infectious endophthalmitis among patients that underwent ocular surgery, before and after the peak of the SARS-CoV-2 pandemic in Japan.[1] The authors should be commended due to the level of complexity and significant effort needed to coordinate several centers simultaneously, as well as the detailed description provided in the manuscript regarding the clinical presentation, microbiological results, and outcomes of all cases. Interestingly and despite the low rate of positive vitreous cultures, the authors were able to isolate oral bacteria among several of the cases that developed endophthalmitis during the pandemic, including one caused by Staphylococcus lugdunensis; a pathogen typically hard to eliminate with mechanical washing bacteria, because it accumulates behind the auricle.[1] With all this evidence, the authors provided a compelling argument regarding the inappropriate wearing of face masks could increase the risk of postoperative endophthalmitis. Nevertheless, we believe that there are a few important considerations that the authors may need to address before making such an assumption.
    As a start, we ca...

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    Conflict of Interest:
    None declared.