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A Journal on Ophthalmology
Minerva Oftalmologica 2011 December;53(4):103-6
Endophthalmitis after the removal of corneal suture in a patient with bronchopneumopathy. A case report
Nuzzi R., Guglielmi V., Tridico F., Buschini E.
Institute of Ophthalmology, Department of Clinical Pathophysiology, University of Turin, Turin, Italy
Postoperative endophthalmitis is a rare complication after cataract extraction surgery. Several factors are responsible of this infection. We report the case of a 58-year-old woman who had undergone cataract surgery and presented postoperative endophthalmitis associated with the removal of corneal suture. The patient was also affected by bronchopneumopathy and she was immunocompromised. The stitch must be cut at the cornea side and removed at the conjunctiva side from inside to outside to avoid infections. A butterfly stitch must be cut in two points in the corneal side and separately removed in the conjunctiva side. The disinfection of conjunctiva and conjunctival fornici with iodopovidone and/or antibiotic solution is useful. The planned suture removal should be between the second and the third postoperative weeks when the patient is covered by the postcataract topic therapy that will finish about one month after surgery. It is also important to consider and to treat eventual associated diseases, and to wait the patient recovery before suture removal.