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Related Experiment Videos

Corneal rim cultures.

W D Mathers1, M A Lemp

  • 1Cornea Service, Georgetown University, Washington, D.C.

Cornea
|January 1, 1987
PubMed
Summary
This summary is machine-generated.

Scleral rim cultures revealed Staphylococcus epidermidis and Streptococcus viridans resistance to gentamycin. This suggests eyebanks should add a second antibiotic to their media to prevent infections after corneal transplantation.

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Area of Science:

  • Ophthalmology
  • Microbiology

Background:

  • Corneal transplantation is a common procedure.
  • Eyebank media are crucial for preventing microbial contamination.
  • Antibiotic resistance is a growing concern in healthcare.

Purpose of the Study:

  • To analyze the prevalence and antibiotic resistance patterns of microbial contaminants in scleral rim cultures.
  • To evaluate the efficacy of current eyebank media in preventing bacterial growth.

Main Methods:

  • Retrospective analysis of 291 scleral rim cultures from corneal transplantations performed between 1981 and 1986.
  • Identification of microbial pathogens and assessment of their antibiotic susceptibility, particularly to gentamycin.

Main Results:

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  • 39% of cultures were positive for microbial growth.
  • Staphylococcus epidermidis was the most common pathogen (30%), with 42% resistant to gentamycin.
  • Streptococcus viridans was found in 15 cultures, with 87% resistant to gentamycin but sensitive to other antibiotics.
  • No cases of postoperative endophthalmitis were reported.
  • Conclusions:

    • The study highlights the emergence of gentamycin-resistant strains of Staphylococcus epidermidis and Streptococcus viridans.
    • Current eyebank media may require modification to address rising antibiotic resistance.
    • Consideration should be given to adding a second antibiotic to the MK medium used by eyebanks to enhance graft safety.