ISSN: 1300-0365
Dil: Türkçe
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Study Of A Case Of Postoperative Endophthalmitis By Scanning Electron Microscopy
Bayazıt İLHAN*, Samim ÖNDEŞ*, Hasan Basri Çakmak*, Hamdi Çelİk**, Bora Eldem***
* Araş.Gör.Dr.Hacettepe Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,** Doç.Dr.Hacettepe Üniversitesi Tıp Fakültesi Anatomi AD,*** Prof.Dr.Hacettepe Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, ANKARA
Postoperative endophthalmitis related to cataract surgery is one of the worst complications. Intraocular and extraocular fluids are frequently contaminated by bacteria. Bacteria are thought to attach to irregular and defective areas of the intraocular lens (IOL) at the time of implantation and cause endophtalmitis by reproduction on those sites. In this study, we examined an IOL removed from a postoperative endophthalmitis patient by scanning electron microscopy (SEM). Inflammatory membranes formed of giant cells and fibrin were observed which harbor microorganisms and these structures were seemed to attach to surface irregularities of IOL, especially its haptics. These findings suggest that implantation of IOLs with smooth optic and haptic surfaces may be useful to prevent postoperative endophthalmitis.Keywords: Postoperative endophthalmitis, Intraocular lenses, Scanning electron microscopy.Turkiye Klinikleri Oftalmoloji 1997, 6:192-195
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