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Biofilm formation by Enterococcus faecalis on intraocular lens material
Shinichiro Kobayakawa1, Bradley D Jett, Michael S Gilmore
1Schepens Eye Research Institute, Harvard Medical School, Boston, Massachusetts 02114, USA.
Current Eye Research
|September 9, 2005
Summary
Enterococcus faecalis biofilms form more readily on acrylic and polymethylmethacrylate (PMMA) intraocular lens (IOL) materials than silicone IOLs over time. Silicone IOLs showed the least biofilm formation.
Area of Science:
- Ophthalmology
- Biomaterials Science
- Microbiology
Background:
- Intraocular lens (IOL) materials are crucial for cataract surgery outcomes.
- Biofilm formation on IOLs can lead to serious ocular infections.
- Enterococcus faecalis is a common pathogen implicated in endophthalmitis.
Purpose of the Study:
- To compare the in vitro biofilm formation of Enterococcus faecalis on three common IOL materials: silicone, polymethylmethacrylate (PMMA), and acrylic.
- To determine if IOL material composition influences the extent and bacterial population within E. faecalis biofilms.
Main Methods:
- Cultured E. faecalis biofilms on silicone, PMMA, and acrylic IOL disks.
- Quantified biofilm formation using crystal violet staining and bacterial enumeration.
- Visualized biofilm architecture using confocal microscopy.
Main Results:
- No significant difference in biofilm formation at 24 hours among the IOL materials.
- After 48 and 72 hours, silicone IOLs exhibited significantly less biofilm formation compared to PMMA and acrylic (p < 0.05).
- Acrylic IOLs showed the greatest amount of stainable biofilm, and PMMA had a significantly greater bacterial population (p < 0.005).
Conclusions:
- Silicone IOLs demonstrate superior resistance to E. faecalis biofilm formation compared to PMMA and acrylic IOLs.
- Acrylic and PMMA IOLs are more prone to supporting robust biofilm development by E. faecalis over time.
- Material choice may influence the risk of infectious complications following IOL implantation.
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