‘Unstable’ clear corneal wound may allow entry of pathogens

A retrospective case series identified four cases of acute postoperative endophthalmitis following temporal clear corneal phacoemulsification performed with intravitreal administration of triamcinolone and moxifloxacin.
Of approximately 2,000 cataract surgeries performed over a 15-month period, the four patients, who all underwent uneventful surgeries with topical anesthesia and implantation of a one-piece acrylic posterior chamber IOL in the capsular bag, demonstrated onset of symptoms between 3 and 14 days postoperatively.
“Because a clear corneal wound might remain unstable for up to 1

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