Adverse Occurrence type:
Time to detection:
Alerting signals, symptoms, evidence of occurrence:
Two patients developed endophthalmitis within 24 hours of corneal transplantation. In one Gram-positive cocci were found in a corneal ulcer exudate and the donor corneal rim grew Streptococcus pneumoniae. In the other S. pneumoniae grew from vitreous fluid but no donor culture was obtained.
Demonstration of imputability or root cause:
Corneal rim cultures and post-implantation cultures