MICROBIOLOGICAL EXAMINATION OF THE AQUEOUS HUMOR AFTER IMPLANTATION OF THE IOL CORNEAL ACR6D

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MICROBIOLOGICAL EXAMINATION OF THE AQUEOUS
HUMOR AFTER IMPLANTATION OF THE IOL CORNEAL
ACR6D

• N. JIRÁSKOVÁ, P. ROZSÍVAL,
• J. POZLEROVA
• HRADEC KRALOVE,
• CZECH REPUBLIC

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• No author has a financial or proprietary
  interest in any material or method mentioned.

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PURPOSE

• To compare the results of the microbiological
  examination of the aqueous humor after
  implantation
• of the IOL CORNEAL using either injector or
  folding and insertion forceps.

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PATIENTS AND METHODS

• In this prospective randomized clinical study 45
  eyes (43 patients) were implanted with the
  hydrophilic acrylic IOL CORNEAL ACR6D SE.
  Injector was used in 22 eyes and folding and
  insertion forceps in 23 eyes. After delivery of
  the IOL in the capsular bag, viscoelastic
  material was removed using bimanual I/A and the
  specimen for microbiological examination was
  obtained. The anterior chamber was filled with
  balanced salt solution, intracameral antiobiotics
  were injected and the stroma alongside the
  primary incision and the side port incisions were
  lightly irrigated to form a fairly secure seal.

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RESULTS

• The results of primary cultivation were negative
  in all specimens. Only threetimes sporadic
  colonies of Staphylococcus plasmacoagulasa neg.
  were isolated from the liquid medium after
  reincubation, that were described by
  microbiologist as almost certain contamination of
  the sample. At two from these cases forceps were
  used for implantation, once injector. Anaerobic
  and mycologic examinations of all samples were
  negative.

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SURGICAL OUTCOMES

• None of the eyes required a suture for unstable
  wound or insufficient watertightness at the end
  of surgery or during postoperative period. Best
  corrected visual acuity was 1.0 - 0.8 on the
  first postoperative day in all patients. No eye
  had a incision leak or other wound related
  complication. There was no evidence of
  postoperative inflammation in any case during the
  whole follow-up period.

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CONCLUSIONS

• Both implantation techniques (using injector or
  folding and insertion forceps) proved to be safe
  and effective, with no significant differences
  comparing the microbiological contamination of
  the anterior chamber after implantation, and
  postoperative outcome.