Laser flare photometry in the therapeutic management of bacterial chronic pseudophakic endophthalmitis

J Cataract Refract Surg. 2009 Jan;35(1):98-104. doi: 10.1016/j.jcrs.2008.09.010.

Abstract

Purpose: To evaluate laser flare photometry in measuring aqueous humor inflammation in chronic pseudophakic endophthalmitis.

Setting: Department of Ophthalmology, Pitié Salpétrière Hospital, Paris, France.

Methods: This retrospective review comprised eyes with chronic pseudophakic endophthalmitis that were evaluated by slitlamp and laser flare photometry at admission and during follow-up.

Results: Nine eyes of 8 patients were reviewed. The laser flare photometry values were significantly reduced by antibiotic treatment in all eyes. The laser flare photometry values increased after antibiotic treatment was withdrawn in 7 eyes. Early detection of the relapse by laser flare photometry was confirmed at the slitlamp examination in the following days.

Conclusions: Laser flare photometry, a noninvasive objective tool, was useful in monitoring the evolution of chronic pseudophakic endophthalmitis. Early detection of an increase in flare could lead to a close follow-up. The prompt modification of therapeutic intervention could help preserve a favorable visual outcome.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Aqueous Humor / microbiology
  • Chronic Disease
  • Endophthalmitis / diagnosis*
  • Endophthalmitis / drug therapy
  • Endophthalmitis / microbiology
  • Eye Infections, Bacterial / diagnosis*
  • Eye Infections, Bacterial / drug therapy
  • Eye Infections, Bacterial / microbiology
  • Eye Infections, Fungal / diagnosis*
  • Eye Infections, Fungal / drug therapy
  • Eye Infections, Fungal / microbiology
  • Female
  • Humans
  • Lasers*
  • Male
  • Middle Aged
  • Photometry
  • Pseudophakia / diagnosis*
  • Pseudophakia / drug therapy
  • Pseudophakia / microbiology
  • Retrospective Studies
  • Visual Acuity

Substances

  • Anti-Bacterial Agents