Comment on: Clinical presentations and comparative outcomes of primary versus deferred intraocular lens explantation in delayed.onset endophthalmitis.

Kannan, Naresh; Sen, Sagnik; Mishra, Chitaranjan; Ramachandran, Obuli; Rajan, Renu; Kumar, Karthik; Kannan, Naresh B; Rajan, Renu P

Intraocular lens (IOL) explantation has been shown to be effective in the management of late-onset and recurrent endophthalmitis, especially of Propionibacterium acnes and fungal etiology, with near-complete removal of the infective element sequestered over the IOL surface and in the capsular bag.[[1]],[[2]] We congratulate the authors for articulately bringing out the concept of early IOL explantation in delayed-onset endophthalmitis.[[3]] First, the rationale for multiple surgeons performing the same in the 25 described cases, based solely on each surgeon's discretion, remains unclear. Since inclusion criteria mention delayed-onset endophthalmitis and an inciting event before the onset of endophthalmitis has been considered (presumably cataract surgery), these cases could well have been cases of delayed-onset post-cataract endophthalmitis which needs further explanation. At our center, we have operated four eyes of fungal endophthalmitis and performed IOL explantation with scleral-fixated IOL (SFIOL) implantation after complete resolution of inflammation.

INTRAOCULAR lenses; CATARACT surgery; CUTIBACTERIUM acnes

Indian Journal of Ophthalmology, 2020, Vol 68, Issue 4, p669

0301-4738

Academic Journal

10.4103/ijo.IJO_1994_19