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The incidence of endophthalmitis after cataract surgery‐a retrospective study: evaluation of risk factors and impact of the introduction of intracameral cefuroxime
Author(s) -
IBANEZ J,
PEREZ D,
MATEO OROBIA AJ,
PEIRO C,
VALYI S,
ROJO M,
MINGUEZ E,
CRISTOBAL JA
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.469.x
Subject(s) - endophthalmitis , medicine , cefuroxime , incidence (geometry) , retrospective cohort study , phacoemulsification , surgery , cataract surgery , visual acuity , ophthalmology , antibiotics , physics , optics , microbiology and biotechnology , biology
Purpose Postsurgical endophthalmitis is an inflammatory reaction of the ocular tissues of infectios or non infectious origin as a consequence of the ocular surgery.Determine the most frecuent causes of endophthalmitis. Methods Retrospective observational study registrating the cases of endophthalmitis after phacoemulsification among the surgeries practiced during the period of 1993 to 2007 in the Hospital Clinico Universitario Lozano Blesa Zaragoza, Spain. Results The study included 92 eyes with postsurgical endophthalmitis, an incidence of 0,4%. In the 65% of the cases the microbiological samples were positive, the most frequent findings were gram positive bacterias. The type of anaesthesia, the location of the incision, the use of sutures, the type of IOLs and the existence of a systemic disease seem not to be significant risk factors for developing endophthalmitis Conclusion Posterior visual acuity depended mostly of the virulence of the germ causing the infection. The use of intracameral cefuroxime was associated wit a significative descense of the percentage of endophthalmitis.