Subconjunctival antibiotics reduced endophthalmitis after cataract surgery, survey shows
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Subconjunctival antibiotics may better protect against post-cataract-surgery endophthalmitis than topical antibiotics, a survey suggests.
James B. Semmens, PhD, and colleagues at the Royal Perth Hospital in Australia surveyed all fellows and trainees of the Royal Australian and New Zealand College of Ophthalmologists about their endophthalmitis prevention approaches.
Of 162,120 cataract operations reported by 731 respondents, endophthalmitis was reported in 92 cases (0.057%). Topical antibiotics were used preoperatively by 46.7% of respondents and postoperatively by 97.4%, according to the study.
Only 44.1% of respondents used subconjunctival antibiotics. However, routine use of subconjunctival antibiotics reduced the incidence of self-reported postoperative endophthalmitis by half, the authors noted.
The study is published in the August issue of Clinical & Experimental Ophthalmology.