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Related Experiment Video

Updated: Jul 5, 2026

Iris Fixation via External Pentagram Suturing

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Bilateral endophthalmitis after bilateral sequential phacoemulsification.

Narman Puvanachandra¹, Roger C Humphry

¹Department of Ophthalmology, Salisbury Hospital, Salisbury, United Kingdom. narmathan@hotmail.com

Journal of Cataract and Refractive Surgery

|May 24, 2008

Summary

Bilateral sequential phacoemulsification can lead to endophthalmitis despite separate sterile techniques. Prompt intravitreal antibiotics resulted in an excellent visual outcome for this patient.

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Area of Science:

Ophthalmology
Infectious Diseases

Background:

Phacoemulsification is a common cataract surgery technique.
Bilateral sequential surgery involves operating on both eyes consecutively.
Postoperative endophthalmitis is a rare but serious complication.

Observation:

An 81-year-old woman underwent bilateral sequential phacoemulsification.
Separate sterile techniques were employed for each eye.
Early culture-positive postoperative endophthalmitis developed in both eyes.

Findings:

This is the third reported case of bilateral endophthalmitis after sequential surgery.
It is the first reported case following the use of separate sterile techniques for each eye.
Treatment with bilateral intravitreal antibiotics led to an excellent visual outcome.

Implications:

Reinforces the risk of endophthalmitis even with meticulous sterile protocols.
Highlights the importance of prompt and aggressive management for bilateral endophthalmitis.
Suggests potential for novel infectious pathways or vulnerabilities in sequential bilateral surgery.