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Prevention of endophthalmitis in cataract surgery
Author(s) -
MONTAN P
Publication year - 2012
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.1755-3768.2012.3411.x
Subject(s) - cefuroxime , medicine , endophthalmitis , observational study , cataract surgery , demographics , protocol (science) , surgery , complication , intensive care medicine , general surgery , optometry , antibiotics , alternative medicine , demography , pathology , sociology , microbiology and biotechnology , biology
Purpose To review data from the Swedish prospective endophthalmitis (E) registry which is linked to the National Cataract Register. Methods 14 years of reporting was reviewed.The registry contains data on demographics, type of surgery,the prophylactic protocol and surgical complications Results Thanks to the introduction of intracameral cefuroxime, the rate of E. in Sweden has not exceeded 0.05% which is considerably lower than other nation‐wide reports. In the most recent 3‐year period, the rate has approached 0.02% which has been parallel to a decline in capsule breaks and procedures in patients aged > 85 years, two independent risk factors for E. Moreover, an intracameral antibiotic, mainly cefuroxime, is practically always employed nowadays and alternative agents to cefuroxime are presently tried. Conclusion Analysing the effect of prophylactic disinfecting protocols in large‐scale clinical observational studies is necessary to reach a well supported strategy aimed at preventing E.In addition, identifying risk factors for E and avoiding them is a supplementary means to reduce the rate of this dreaded complication.