PT  - JOURNAL ARTICLE
AU  - J W B Bainbridge
AU  - M Teimory
AU  - H Tabandeh
AU  - J F Kirwan
AU  - R Dalton
AU  - F Reid
AU  - C K Rostron
TI  - Intraocular lens implants and risk of endophthalmitis
AID  - 10.1136/bjo.82.11.1312
DP  - 1998 Nov 01
TA  - British Journal of Ophthalmology
PG  - 1312--1315
VI  - 82
IP  - 11
4099  - http://bjo.bmj.com/content/82/11/1312.short
4100  - http://bjo.bmj.com/content/82/11/1312.full
SO  - Br J Ophthalmol1998 Nov 01; 82
AB  - 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.