How to prevent endophthalmitis in cataract surgeries?

Indian Journal of Ophthalmology
Aditya KelkarAarofil Shaikh

Abstract

Postoperative endophthalmitis is a very devastating complication and every step should be taken to reduce its occurrence. Unattended air conditioning filter systems are often the culprits and regular maintenance of the filters is of paramount importance. Shedders of pathogenic organisms amongst the theater personnel should be identified by regular screening and should be promptly treated. In addition to the use of Povidone iodine 5% solution in the conjunctival sac few minutes prior to surgery, proper construction of wound, injectable intraocular lenses, use of prophylactic intracameral antibiotics or prophylactic subconjunctival antibiotic injection at the conclusion of cataract surgery, placing a patch after the surgery for at least 4 h and initiating topical antibiotics from the same day of surgery helps to lower the frequency of postoperative endophthalmitis. Intraoperative posterior capsule rupture and anterior vitrectomy are risk factors for acute endophthalmitis, and utmost care to prevent posterior capsular rent should be taken while performing cataract surgery. Also, in case of such complication, these patients should be closely monitored for early signs of endophthalmitis in the postoperative period. In the unfortunat...Continue Reading

References

Dec 1, 1991·Ophthalmology·M G Speaker, J A Menikoff
Aug 1, 1991·Archives of Ophthalmology·J C JavittA Sommer
Sep 1, 1986·Survey of Ophthalmology·M J GreenwaldC H Sell
Jan 1, 1985·Archives of Internal Medicine·B P FarberJ S Dummer
Feb 5, 1966·British Medical Journal·E A MortimerC H Rammelkamp
Nov 1, 1994·Journal of Cataract and Refractive Surgery·P H ErnestL A Kiessling
Mar 1, 1994·Ophthalmology·W B Phillips, W S Tasman
Feb 1, 1996·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·S K FridkinW R Jarvis
Jan 1, 1997·Journal of Cataract and Refractive Surgery·J P AdenisF Denis
Oct 16, 1999·Ophthalmology·S SchmitzN Pfeiffer
Jan 10, 2001·Current Opinion in Ophthalmology·T J Liesegang
Jan 5, 2002·Ophthalmology·Thomas A CiullaSamuel Masket
May 31, 2002·Journal of Cataract and Refractive Surgery·Per G MontanCharlotta Zetterström
Aug 21, 2003·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Herminia Miño de KasparChristopher N Ta
Sep 26, 2003·Investigative Ophthalmology & Visual Science·Laurent KodjikianFrançois N R Renaud
Dec 4, 2003·Ophthalmology·Peter J McDonnellZhongping Chen
Mar 31, 2004·Ophthalmology·Tien Yin Wong, Soon-Phaik Chee
Apr 28, 2004·Investigative Ophthalmology & Visual Science·Jianghong LiUNKNOWN Team EPSWA
Apr 13, 2005·The Journal of Hospital Infection·U KelkarS Kulkarni
May 11, 2005·Archives of Ophthalmology·Mehran TabanPeter J McDonnell
May 19, 2005·Journal of Cataract and Refractive Surgery·Samuel Masket
May 19, 2005·Journal of Cataract and Refractive Surgery·Trevin WallinRandall J Olson
Sep 15, 2005·Ophthalmology·Prajna LalithaMuthaiah Srinivasan
Jan 27, 2006·Current Opinion in Ophthalmology·Mats Lundström
Apr 25, 2006·Journal of Cataract and Refractive Surgery·Peter BarryUNKNOWN ESCRS Endophthalmitis Study Group
Apr 25, 2006·Journal of Cataract and Refractive Surgery·Pedro RomeroMatias Almena
Aug 24, 2006·Clinical & Experimental Ophthalmology·Deepinder S RoshaJames B Semmens

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Citations

Mar 12, 2011·The Journal of Antimicrobial Chemotherapy·S M McHughH Humphreys
Aug 7, 2010·Clinical Ophthalmology·Shinya KomoriKiyofumi Ohkusu
Oct 7, 2014·Ophthalmology·Edward J HollandJohn D Sheppard
Mar 31, 2009·Expert Opinion on Drug Delivery·Thirumurthy Velpandian
Dec 12, 2012·Journal of Cataract and Refractive Surgery·Bingsheng LouYizhi Liu
May 5, 2010·Journal of Refractive Surgery·Orang SeyeddainGünther Grabner
Jan 29, 2014·Ophthalmic Epidemiology·Maria Angeles AsencioFernando Gonzalez-del Valle
Jul 5, 2011·European Journal of Ophthalmology·Angelo BalestrazziMario Fruschelli

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