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Updated: Jun 23, 2026
04:59
Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Lens capsular bag irrigation for low-grade endophthalmitis
Frank C Schlichtenbrede1, Ulrich H M Spandau, Björn Harder
1Department of Ophthalmology, Medical Faculty Mannheim of the Ruprecht-Karls-University Heidelberg, Heidelberg, Germany. frank.schlichtenbrede@augen.ma.uni-heidelberg.de
Summary
Capsular bag irrigation alone effectively treated postoperative low-grade endophthalmitis in nine patients. This minimally invasive approach improved vision and resolved inflammation, avoiding more complex surgeries.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Postoperative low-grade endophthalmitis involves microorganisms sequestered in the capsular bag.
- Current guidelines recommend invasive procedures like vitrectomy or lens removal.
Purpose of the Study:
- To evaluate capsular bag irrigation as a minimally invasive treatment for postoperative infectious low-grade endophthalmitis.
- To present an alternative to more complex surgical interventions.
Main Methods:
- Nine patients with postoperative low-grade endophthalmitis underwent capsular bag irrigation.
- Irrigation used Ringer's solution with gentamicin and vancomycin.
- The procedure was performed under topical anesthesia.
Main Results:
- All patients experienced inflammation subsidence within 2 weeks.
- Visual acuity improved in all cases, returning to pre-surgery levels.
- No further interventions were needed during follow-up (2-39 months).
Conclusions:
- Capsular bag irrigation is a viable, minimally invasive first-line treatment for infectious low-grade endophthalmitis.
- This method can potentially avoid intraocular lens removal and associated surgical risks.
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