Abstract:The antimicrobial activity of Optisol-GS was reduced at refrigerated temperature and enhanced at RT. Bactericidal activity was not observed against E. faecium at either refrigerated temperature or RT.
“…Conversely, the antibacterial activity of Optisol-GS is enhanced at room temperature, thus creating a noncompetitive environment allowing fungi to grow. 21 Reports suggest a high association between fungal infection and EK and tissue prepared in the eye bank, as compared with surgeon-prepared tissue. 15 Donor-to-host transmission of infection or malignancy is a rare but important consideration associated with corneal transplantation.…”
PGF was the most commonly reported adverse reaction, disproportionately associated with EK. An increasingtrend in the rate of endophthalmitis and keratitis was observed, disproportionately associated with EK and Candida species.
“…Conversely, the antibacterial activity of Optisol-GS is enhanced at room temperature, thus creating a noncompetitive environment allowing fungi to grow. 21 Reports suggest a high association between fungal infection and EK and tissue prepared in the eye bank, as compared with surgeon-prepared tissue. 15 Donor-to-host transmission of infection or malignancy is a rare but important consideration associated with corneal transplantation.…”
PGF was the most commonly reported adverse reaction, disproportionately associated with EK. An increasingtrend in the rate of endophthalmitis and keratitis was observed, disproportionately associated with EK and Candida species.
“…Because the antimicrobial agents in the media work primarily on actively replicating or metabolically active microorganisms, they are more effective during and after the 3-hour warming period than at 4°C. 14, 39 Smith et al 12 also reported that the bactericidal activity of Optisol-GS against S. aureus was higher at 22°C, although gentamicin-resistant strains of S. aureus do not seem to have been included in this study.…”
The addition of daptomycin to Optisol-GS significantly increases the anti-MRSA activity of the medium without any apparent negative effects on donor corneal tissue.
“…We agree that a clinical observational study may help to determine the optimal maintenance of donor corneal preservation before keratoplasty. 15 Our observation that the quality rating of corneal tissue is associated with donor corneal rim culture results could be a chance finding or might be biased because only 48% of donor corneal rims were submitted for microbiologic processing. Our finding, however, is consistent with that of a recent study showing that stromal edema may allow bacteria to enter the donor cornea.…”
This exploratory study suggests that slit-lamp assessment of corneal appearance may correlate with subsequent microbiologic results. Ensuring optimal selection and preservation of the donor cornea may contribute to the safety of eye banking.
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