D. Kalicharan et al., (AN)AEROBIC BACTERIA FOUND IN SECONDARY-CATARACT MATERIAL - A SEM TEMSTUDY/, Documenta ophthalmologica, 82(1-2), 1992, pp. 125-133
Twentyfour patients, who had marked reduction of vision due to seconda
ry-cataract developed after an ECCE, were treated by surgical cleaning
of the posterior lens capsule. During this procedure globular seconda
ry-cataract material was removed and collected for morphological exami
nation by SEM and TEM. Fragments of various sizes and shapes, includin
g some with a 'golfball' structure, were seen; these closely resembled
particles frequently found in cataractous lenses. In addition, in 18
patients micro-organisms were found: rod-shaped bacteria, cocci, and i
n 2 cases yeasts. These findings were the more remarkable because thes
e were clinically quiet eyes with no signs of intra-ocular inflammatio
n and cultures have been persistently negative. We imagine that these
bacteria must have entered the eye during the cataract extraction and
have settled there without causing an infection.