Preoperative antisepsis in ophthalmic surgery (a review) | Zendy

Alexandra-Cătălina Zaharia | Zendy; Otilia-Maria Dumitrescu | Zendy; Roxana-Elena Rogoz | Zendy; Andreea Elena Dimirache | Zendy; M Zemba | Zendy

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Preoperative antisepsis in ophthalmic surgery (a review)

Author(s) -

Alexandra-Cătălina Zaharia,

Otilia-Maria Dumitrescu,

Roxana-Elena Rogoz,

Andreea Elena Dimirache,

M Zemba

Publication year - 2021

Publication title -

romanian journal of ophthalmology

Language(s) - English

Resource type - Journals

eISSN - 2501-2533

pISSN - 2457-4325

DOI - 10.22336/rjo.2021.25

Subject(s) - medicine , endophthalmitis , antiseptic , chlorhexidine , surgery , ophthalmic surgery , complication , preoperative care , dentistry , pathology

Endophthalmitis remains a serious complication following intraocular procedures. Preoperative prophylactic measures for endophthalmitis decrease the morbidity associated with this disease and represent a standard of care prior to ophthalmic surgery. The literature supports as measures for ocular antisepsis: povidone-iodine solution for ocular surface preparation, chlorhexidine in patients with iodine allergy and application of topical antibiotics. Povidone-iodine is regarded as the most effective antiseptic associated with significant reduction in ocular surface bacterial counts. Currently, the recommended preoperative management is the application of 5% povidone-iodine solution in the conjunctival fornix, prior to surgery. This paper reviews the preoperative measures for ocular antisepsis, used in order to decrease the risk of culture-proven endophthalmitis.

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