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Anterior Chamber Paracentesis:  Diagnostic Value in Postoperative Endophthalmitis

Mathea R. Allansmith, MD; Carson Skaggs, MD; Samuel J. Kimura, MD
Arch Ophthalmol. 1970;84(6):745-748. doi:10.1001/archopht.1970.00990040747009.
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The results of 115 anterior chamber paracenteses were reviewed. Of these, 14 had been performed for diagnostic purposes in postoperative endophthalmitis. Cultures of aqueous from five of the 14 were positive. Staphylococcus aureus was recovered from three, paracolon bacillus from one, and Bacillus subtilis from one. A polymorphonuclear cell reaction characterized all cases of postoperative endophthalmitis from which bacteria were recovered. Since one third of the eyes with postoperative endophthalmitis in this series contained culturable bacteria, we consider anterior chamber paracentesis a valuable tool in the diagnosis of the etiology of postoperative endophthalmitis.

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