Paper Information

Journal:   JOURNAL OF OPHTHALMIC AND VISION RESEARCH   2015 , Volume 10 , Number 1; Page(s) 33 To 36.
 
Paper: 

PERIOPERATIVE PROPHYLAXIS FOR ENDOPHTHALMITIS AFTER CATARACT SURGERY IN IRAN

 
DOI: 

10.4103/2008-322X.156096

 
Author(s):  KATIBEH MARZIEH*, ZIAEI HOSSEIN, MIRZAEI MAHBOOBE, ESKANDARI ARMEN, MOEIN HAMIDREZA, KALANTARION MASUMEH, JAVADI MOHAMMADALI
 
* OPHTHALMIC EPIDEMIOLOGY RESEARCH CENTER, SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES, NO 23, PAIDARFARD ST., BOOSTAN 9 ST., PASDARAN AVE, TEHRAN 16666, IRAN
 
Abstract: 

Purpose: To describe prophylactic patterns employed against endophthalmitis after cataract surgery in Iran.
Methods: This cross-sectional study included 486 ophthalmologists filling in a self-administered questionnaire during the 20th Annual Congress of the Iranian Society of Ophthalmology in December 2010, Tehran, working in both private and academic medical centers. Prophylactic measures used preoperatively, intraoperatively and postoperatively and self-reported rates of endophthalmitis were assessed as the main outcome measurements.
Results: In the preoperative phase, 75.5% of surgeons used povidone?iodine in the conjunctival sac and 71.4% of them did not use antibiotics. The rate of intraoperative prophylaxis was 61.9% either in the form of intracameral antibiotics or subconjunctival injection (mostly cephazolin or gentamicin). Only 7.8% of participants used intracameral cephalosporins. Postoperative antibiotics [mostly chloramphenicol (57%) and ciprofloxacin (28%)] were used by 94.2% of surgeons. On average, ten years of practice were required to observe one case of endophthalmitis.
Conclusion: The surgeons in present setting used various prophylactic regimens against endophthalmitis after cataract surgery. Setting a local and evidence?based clinical practice guideline seems necessary.

 
Keyword(s): ANTIBIOTIC PROPHYLAXIS, CATARACT EXTRACTION, ENDOPHTHALMITIS
 
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