Articles: PDF OnlyMycotic infection of the capsular bag in postoperative endophthalmitisCusumano, Andrea M.D.*; Busin, Massimo M.D.; Spitznas, Manfred M.D. Author Information The University Eye Hospital, University of Bonn, Germany. *Reprint requests to Andrea Cusumano, M.D., Universitäts-Augenklinik Bonn, Sigmund Freud Strasse 25, 5300 Bonn 1, Germany. Journal of Cataract & Refractive Surgery: July 1991 - Volume 17 - Issue 4 - p 503-505 doi: 10.1016/S0886-3350(13)80859-0 Buy Metrics Abstract A case of mycotic infection after uncomplicated extracapsular cataract extraction with implantation of a posterior chamber modified C-loop intraocular lens (IOL) is reported. Severe postoperative intraocular inflammation, diagnosed by aqueous cultures as secondary to Staphylococcus aureus endophthalmitis, did not respond to antibiotic therapy. Despite IOL and capsular bag removal and further antibiotic treatment, the inflammation persisted and phthisis followed. Retrospective electron microscopic examination of the explanted material demonstrated the presence of abundant fungal elements in the capsular bag and spores on the IOL surface. Vitreous taps performed at the time of explantation were negative for bacteria and fungi, confirming the localized nature of the mycotic infection. To our knowledge this report represents the first observation of a mycotic infection confined to the capsular bag after cataract surgery with implantation of a posterior chamber IOL. © Williams & Wilkins 1991. All Rights Reserved.