J Korean Ophthalmol Soc.  2013 Apr;54(4):552-556. 10.3341/jkos.2013.54.4.552.

Comparison of Bacterial Culture Rate and Bacterial Floral Distribution in Anophthalmic Patients with Prosthetic Eye, Between Patients with Symptom and Without Symptom

• Lee S
• Ahn M

• KMID: 2216933
• DOI: http://doi.org/10.3341/jkos.2013.54.4.552

Abstract

PURPOSE
To evaluate the distribution of conjunctival bacterial flora in anophthalmic socket patients with a prosthetic eye, and compare the bacterial positive culture rates between patients with subjective symptoms such as eye wax or irritation and patients without symptoms.
METHODS
Twenty-six anophthalmic socket patients with a prosthetic eye who visited our clinic between December 2009 and May 2011 were retrospectively analyzed. The patients were asked about their symptoms, followed by a conjunctiva examination. Specimens were obtained from the inferior conjunctival cul- de- sac with a sterile cotton-tipped applicator. The collected specimens were cultured.
RESULTS
The results indicated that the overall positive culture rate in the anophthalmic conjunctival socket was 69.2%, and the predominant organism was S. epidermidis (38.5%). Potential pathogenic bacteria were found in 4 eyes with a 15% positive culture rate. The incidence of bacteria was significantly higher (85.4%) in patient samples with subjective symptoms compared to patients without symptoms (50%). The bacterial positive culture rate of the potential pathogen bacteria in the group with symptoms was higher at 21%, but was not statistically significant.
CONCLUSIONS
Performing a pathogen culture test is necessary for prosthetic eye patients who complain of their symptoms. Additionally, the proper antibacterial treatment should be performed according to the antibiotics sensitivity of cultured bacteria.

Keyword

Anophthalmos; Bacterial flora; Conjunctiva; Prosthetic eye

MeSH Terms

Anophthalmos
Anti-Bacterial Agents
Bacteria
Conjunctiva
Eye
Humans
Incidence
Retrospective Studies
Anti-Bacterial Agents

Figure

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  Figure 1. Correlation between bacterial positive culture rate and causes of enucleation.

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  Figure 2. Correlation between bacterial species and causes of enucleation.

Reference

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