Incidence, Prophylaxis and Visual Outcomes of Acute Postoperative Endophthalmitis after Cataract Surgery: A Multicenter Retrospective Analysis in Northern China

2020 ◽  
Author(s):  
Jiang Xiaodan ◽  
Wan Yu ◽  
Yuan Hao ◽  
Zhao Liming ◽  
Sun Min ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Retrospective Analysis ◽  
Northern China ◽  
Postoperative Endophthalmitis ◽  
Visual Outcomes

scholarly journals Intravitreal injections as a leading cause of acute postoperative endophthalmitis—a regional survey in England

Eye ◽  
2021 ◽  
Author(s):  
Ariel Yuhan Ong ◽  
Axelle Rigaudy ◽  
Shafak Toufeeq ◽  
Julian Robins ◽  
Zaid Shalchi ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Absolute Risk ◽  
Vitreoretinal Surgery ◽  
Positive Culture ◽  
Visual Outcome ◽  
Intravitreal Injections ◽  
Postoperative Endophthalmitis ◽  
Regional Survey ◽  
Visual Outcomes ◽  
Clinical Records

Abstract Background To evaluate the characteristics, treatment patterns and outcomes of acute postoperative endophthalmitis. Methods Patients presenting with acute postoperative endophthalmitis between January 2017 to December 2019 were identified from hospital records in this multicentre retrospective cohort study. Clinical records were reviewed for visual acuity (VA) at various timepoints, cause of endophthalmitis, microbiological results, treatments and complications. Results Forty-six eyes of 46 patients were included. Intravitreal injections were the leading cause of acute postoperative endophthalmitis (n = 29; 63%), followed by cataract surgery (n = 8; 17%), vitreoretinal surgery (n = 7; 15%), and secondary intraocular lens insertion (n = 2, 4%). The absolute risk of endophthalmitis was 0.024% (1:4132) for intravitreal injections, 0.016% (1:6096) for cataract surgery, and 0.072% (1:1385) for vitreoretinal surgery. The majority of patients (n = 38; 83%) had better VA at 6 months compared to presentation, although fewer (n = 13; 28%) maintained similar or better VA compared to before the precipitating surgery. Twenty-four cases yielded positive culture results, of which staphylococcus epidermidis was the most commonly isolated organism. Microbiological yield was not associated with better final visual outcomes. Patients who underwent therapeutic vitrectomy (n = 15; 33%) had poorer VA at presentation, but subsequently achieved visual outcomes comparable to those who received medical treatment alone. There was no difference in time to presentation, visual outcome and retinal detachment rates among the different causative procedures. Conclusion Intravitreal injections were the most common cause of endophthalmitis in our region, primarily because of their higher frequency compared to other intraocular procedures. In this cohort, the primary procedure had no effect on presentation, management or visual outcomes.

Povidone-Iodine 3-Minute Exposure Time is Viable in Preparation for Cataract Surgery

2017 ◽  
Vol 27 (5) ◽  
pp. 573-576 ◽  
Author(s):  
Chu L. Nguyen ◽  
Lawrence J. Oh ◽  
Eugene Wong ◽  
Ian C. Francis
Keyword(s):  
Clinical Practice ◽  
Cataract Surgery ◽  
Exposure Time ◽  
Ocular Surface ◽  
Povidone Iodine ◽  
Bacterial Load ◽  
Minute Exposure ◽  
Visual Outcomes ◽  
Preoperative Prophylaxis ◽  
Operating Room Staff

Purpose Povidone-iodine (PI) is widely used to reduce the preoperative conjunctival bacterial load. This study aimed to evaluate the employment of PI 10% in an attempt to sterilize the ocular surface prior to cataract surgery, and to show that PI could be left in contact for 3 minutes. The viability of this exposure time in clinical practice, associated adverse events, and visual outcomes were documented. Methods In this prospective cohort study, phacoemulsification cataract surgery was performed in 604 patients by a single surgeon. Preoperative preparation was undertaken with PI 10%, applied to the cornea, conjunctival sac, eyelids, and periorbital skin with sterile cotton gauze. Povidone-iodine was then flushed onto the ocular surface. Operating room staff timed the precise duration of exposure. After the 3-minute preparation, the lids were thoroughly dried with fresh dry gauze. Results The median PI exposure time was 3.17 minutes, with an interquartile range of 0.25. All cases were followed up postoperatively at 1 day, 1 week, and 1 month. There were no complications attributable to PI. Visual outcomes were satisfactory. Conclusions Implementation of a preoperative prophylaxis protocol that used PI 10% with a 3-minute exposure time can be performed in clinical practice. The 3-minute exposure time had no adverse sequelae.

Visual outcomes after toric intraocular lens implantation in pediatric eyes undergoing cataract surgery

2020 ◽  
Vol 46 (8) ◽  
pp. 1102-1107
Author(s):  
Vaishali Vasavada ◽  
Lajja Shastri ◽  
Abhay R. Vasavada ◽  
Priyanka Patel ◽  
Deepa Agarwal ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Intraocular Lens Implantation ◽  
Toric Intraocular Lens ◽  
Visual Outcomes ◽  
Lens Implantation

Comparative analysis of visual outcomes of multifocal and monofocal intraocular lenses in congenital cataract surgery

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Luca Buzzonetti ◽  
Sergio Petroni ◽  
Carlo Maria De Sanctis ◽  
Paola Valente ◽  
Matteo Federici ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Cataract Surgery ◽  
Congenital Cataract ◽  
Intraocular Lenses ◽  
Visual Outcomes ◽  
Congenital Cataract Surgery

Monitoring and modernization to improve visual outcomes of cataract surgery in a community eyecare center in western India

2011 ◽  
Vol 37 (2) ◽  
pp. 328-334 ◽  
Author(s):  
Parikshit Gogate ◽  
Vipul Vakil ◽  
Rajiv Khandekar ◽  
Madan Deshpande ◽  
Hans Limburg
Keyword(s):  
Cataract Surgery ◽  
Western India ◽  
Visual Outcomes
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