Sterile endophthalmitis in vitrectomised eyes due to suspected heat resistant endotoxins in the infusion fluid.

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dc.contributor.authorPatnaik, Bijayanandaen_US
dc.contributor.authorBiswas, Champakalien_US
dc.contributor.authorPatnaik, Rajinder Kalsien_US
dc.date.accessioned2004-06-31en_US
dc.date.accessioned2009-05-29T08:18:52Z
dc.date.available2004-06-31en_US
dc.date.available2009-05-29T08:18:52Z
dc.date.issued2004-06-31en_US
dc.description.abstractPURPOSE: To report on to the possibility of development of severe postoperative sterile endophthalmitis due to heat-resistant bacterial endotoxins in commercially available infusion fluids METHODS: A case study of 4 eyes that had previously undergone vitreoretinal surgery, which developed clinical endophthalmitis within 18 hours of surgery and two eyes that had vitreous surgery with intraocular gas and did not develop clinical endophthalmitis following intraocular surgery on three consecutive operative days RESULTS: The vitreous samples were sterile, both for bacteria and fungi. The only common supply in all cases was a new batch of Ringer's lactate infusion fluid. Though the Ringer's lactate solutions in the same batch were also sterile, the infusion fluids contained abnormally high levels of bacterial endotoxins detected by gel clot method. CONCLUSION: Commercially available infusion fluid may be sterile, yet contain endotoxins from killed bacteria. This could cause postoperative sterile endophthalmitis.en_US
dc.description.affiliationRetina Associates Eye Institute, New Delhi, India. patnaik99@mantraonline.comen_US
dc.identifier.citationPatnaik B, Biswas C, Patnaik RK. Sterile endophthalmitis in vitrectomised eyes due to suspected heat resistant endotoxins in the infusion fluid. Indian Journal of Ophthalmology. 2004 Jun; 52(2): 127-31en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/70334
dc.language.isoengen_US
dc.source.urihttps://www.ijo.inen_US
dc.subject.meshAdulten_US
dc.subject.meshEndophthalmitis --etiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIrrigationen_US
dc.subject.meshIsotonic Solutions --adverse effectsen_US
dc.subject.meshLipopolysaccharides --adverse effectsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOphthalmic Solutions --adverse effectsen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshVitrectomyen_US
dc.titleSterile endophthalmitis in vitrectomised eyes due to suspected heat resistant endotoxins in the infusion fluid.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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