Eyeworld

97 EW INTERNATIONAL February 2017 Editors' note: Dr. Das has no financial interests related to his comments. Contact information Das: tpd@lvpei.org from intraocular fluids. Aspergillus and Candida were most commonly identified. The main challenge was suspecting fungal etiology at the time of presentation and accurately diagnosing patients. 4,5 Aravind Eye Hospital reported 465,914 cataract surgeries, not- ing clinical endophthalmitis in 363 cases, 0.08%. Culture proven endophthalmitis was reported in 110 cases, 0.02%. Culture positivity was reported in 30.3% of the cases, of which 63% (69 cases) had gram positive bacteria and 10% (11 cases) had gram negative bacteria. Gram positive filamentous bacteria was noted in 22% (24 cases) and fungi in 5% (six cases). LV Prasad Eye Institute did 50,183 cataract surgeries and doc- umented clinical endophthalmitis in 0.16%. Culture proven endoph- thalmitis was reported in 0.08% (44 cases). Culture positivity was report- ed in 54.32%, of which there were 27 cases involving gram positive bacteria and 12 cases involving gram negative bacteria. Fungi were report- ed in 6.53% (three cases). There were two cases with mixed infections of GPC and fungus. "Acute postoperative endoph- thalmitis following cataract surgery is a dreaded complication," Dr. Das said. "The incidence of clinical acute endophthalmitis in India was 0.04% to 0.15%, and the incidence of culture positive endophthalmitis was 0.02% to 0.09%. There is an ur- gent need for more reports from all institutes across different regions of India. A national registry with me- ticulous documentation of clinical details will aid in developing region- specific guidelines for treatment and management of post-cataract surgery endophthalmitis." EW References 1. Das T, et al. Case control analyses of acute endophthalmitis after cataract surgery in South India associated with technique, patient care, and socioeconomic status. J Ophthlmol. 2012;298459. 2. Jambulingam M, et al. A study on the incidence, microbiological analysis and investigations on the source of infection of postoperative infectious endophthalmitis in a tertiary care ophthalmic hospital: an 8-year study. Indian J Ophthalmol. 2010;58:297–302. 3. Anand AR, et al. Spectrum of aetiological agents of postoperative endophthalmitis and antibiotic susceptibility of bacterial isolates. Indian J Ophthalmol. 2000;48:123–8. 4. Chakrabarti A, et al. Fungal endophthalmitis: fourteen years' experience from a center in India. Retina. 2008;28:1400–1407. 5. Narang S, et al. Fungal endophthalmitis fol- lowing cataract surgery: clinical presentation, microbiological spectrum, and outcome. Am J Ophthalmol. 2001;132:609–617.

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