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

Fardeau, Christine; Herbort, Carl P.; Nghiem, Sylvia; Jarlier, Vincent; LeHoang, Phuc

doi:10.1016/j.jcrs.2008.09.010

« Previous Next »Journal of Cataract & Refractive Surgery
Volume 35, Issue 1 , Pages 98-104, January 2009

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

From the Department of Ophthalmology (Fardeau, Nghiem, LeHoang) and the Laboratory of Bacteriology (Jarlier), Pitié-Salpétrière Hospital, Paris, France; and Inflammatory Eye Diseases (Herbort), La Source Eye Center and University of Lausanne, Lausanne, Switzerland

Received 15 May 2008; received in revised form 12 September 2008; accepted 19 September 2008.

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 The laser flare photometry values increased after antibiotic treatment was withdrawn in 7 eyes.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.