Eye Culture

Test Code
CEye


Preferred Specimen
Conjunctiva, Cornea, Donor Sclera


Minimum Volume
1.00, 1.00 ML


Instructions

Aspirate, Pus, Drainage



1. Collect specimen of purulent discharge using a blue (modified Amies) transport swab or green (Liquid Stuart) Mini-Tip CULTURETTETM swab.



2. Label device or swab with patient’s name (first and last), medical record number (if available), date and time of collection, and type of specimen.
3. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.



Note:  Specimen source (right or left eye) is required on request form for processing.



 



Conjunctiva Swab
Conjunctiva (bacterial conjunctivitis) and lid margin (if staphylococcal blepharoconjunctivitis is suspected).




1. Obtain specimen with a blue (modified Amies) transport swab or green (Liquid Stuart) Mini-Tip CULTURETTETM swab.
2. Roll swab over conjunctiva before topical medications are applied.



3. Culture both eyes with separate swabs.



4. Place swab or drainage in a sterile culture transport tube.
5. Label tube with patient’s name (first and last), medical record number (if available), date and time of collection, and type of specimen.
6. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.



Note:  Specimen source (right or left eye) is required on request form for processing.



 



Corneal Scraping
1. Instruct opthalmologist to obtain corneal scraping from advancing edge of ulcer with a Kimura spatula.



2. Obtain approximately 3 to 5 scrapings per cornea.



3. Inoculate 1 culture swab and place in inoculated media.



4. Inoculate each set of scrapings onto an agar plate using a C-formation for each scraping in following order:  BAP agar, Gram stain slide, CHOC agar, SAB agar, thio broth.



5. Smear scraping onto 2 other glass slides for staining.



6. Label media and slides with patient’s name (first and last), medical record number (if available), date and time of collection, and type of specimen.
7. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.



Note:  Specimen source (right or left eye) is required on request form for processing.



 



Intraocular Fluid
1. Vitreous and anterior chamber fluid specimens are collected by a physician.



2. Specimen should be collected using a syringe (without needle) or blue (modified Amies) transport swab or green (Liquid Stuart) Mini-Tip CULTURETTETM swab.
3. Label container with patient’s name (first and last), medical record number (if available), date and time of collection, and type of specimen.
4. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.



Note:  Specimen source (right or left eye) is required on request form for processing.




Transport Container
Blue Swab, SterileCup


Reference Range
Aerobic bacterial culture:  no growth

Anaerobic bacterial culture:  no growth




Performing Laboratory
Indiana Regional Medical Center



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.