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Influence of haptic materials on the adherence of staphylococci to intraocular lenses.

Identifieur interne : 004564 ( Ncbi/Merge ); précédent : 004563; suivant : 004565

Influence of haptic materials on the adherence of staphylococci to intraocular lenses.

Auteurs : E M Raskin [États-Unis] ; M G Speaker ; S A Mccormick ; D. Wong ; J A Menikoff ; K. Pelton-Henrion

Source :

RBID : pubmed:8431164

English descriptors

Abstract

A recent case-control study indicated that the insertion of an intraocular lens with polypropylene (Prolene) haptic materials was a significant risk factor for postoperative endophthalmitis (odds ratio = 4.5, P < .01). In the present study, we used quantitative techniques to evaluate adherence of Staphylococcus epidermidis to two intraocular lens types--lenses with polypropylene haptic materials and all-polymethyl methacrylate optic and three-piece all-polymethyl methacrylate lenses--using a quantitative culture method, a radioisotope technique, and scanning electron microscopy. All three methods demonstrated approximately twice as many bacteria adherent to lenses with polypropylene haptic materials as to all-polymethyl methacrylate lenses. Scanning electron microscopy showed preferential bacterial adherence to the polypropylene haptic materials. These data provide a pathogenic mechanism to explain our epidemiologic findings of an increased risk of postoperative endophthalmitis associated with implantation of intraocular lenses with polypropylene haptic materials.

PubMed: 8431164

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pubmed:8431164

Le document en format XML

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<nlm:affiliation>Department of Ophthalmology, New York Eye and Ear Infirmary, NY 10003.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<wicri:cityArea>Department of Ophthalmology, New York Eye and Ear Infirmary</wicri:cityArea>
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<name sortKey="Wong, D" sort="Wong, D" uniqKey="Wong D" first="D" last="Wong">D. Wong</name>
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<term>Endophthalmitis (etiology)</term>
<term>Endophthalmitis (microbiology)</term>
<term>Equipment Contamination</term>
<term>Isotope Labeling</term>
<term>Lenses, Intraocular (standards)</term>
<term>Materials Testing</term>
<term>Methylmethacrylate</term>
<term>Methylmethacrylates (standards)</term>
<term>Microscopy, Electron, Scanning</term>
<term>Polypropylenes (standards)</term>
<term>Postoperative Complications (epidemiology)</term>
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<term>Sonication</term>
<term>Staphylococcus epidermidis (growth & development)</term>
<term>Staphylococcus epidermidis (isolation & purification)</term>
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<div type="abstract" xml:lang="en">A recent case-control study indicated that the insertion of an intraocular lens with polypropylene (Prolene) haptic materials was a significant risk factor for postoperative endophthalmitis (odds ratio = 4.5, P < .01). In the present study, we used quantitative techniques to evaluate adherence of Staphylococcus epidermidis to two intraocular lens types--lenses with polypropylene haptic materials and all-polymethyl methacrylate optic and three-piece all-polymethyl methacrylate lenses--using a quantitative culture method, a radioisotope technique, and scanning electron microscopy. All three methods demonstrated approximately twice as many bacteria adherent to lenses with polypropylene haptic materials as to all-polymethyl methacrylate lenses. Scanning electron microscopy showed preferential bacterial adherence to the polypropylene haptic materials. These data provide a pathogenic mechanism to explain our epidemiologic findings of an increased risk of postoperative endophthalmitis associated with implantation of intraocular lenses with polypropylene haptic materials.</div>
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