Author's Reply to Comments to: Povidone-Iodine 3-Minute Exposure Time is Viable in Preparation for Cataract Surgery

2017 ◽  
Vol 27 (6) ◽  
pp. e189-e189 ◽  
Author(s):  
Chu L. Nguyen ◽  
Lawrence J. Oh ◽  
Eugene Wong ◽  
Ian C. Francis
Keyword(s):  
Cataract Surgery ◽  
Exposure Time ◽  
Povidone Iodine ◽  
Minute Exposure

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.

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

2017 ◽  
Vol 27 (6) ◽  
pp. e187-e188
Author(s):  
Hiroyuki Shimada ◽  
Hiroyuki Nakashizuka ◽  
Andrzej Grzybowski
Keyword(s):  
Cataract Surgery ◽  
Exposure Time ◽  
Povidone Iodine ◽  
Minute Exposure

scholarly journals Effectiveness of 0.66% Povidone-Iodine Eye Drops on Ocular Surface Flora before Cataract Surgery: A Nationwide Microbiological Study

2021 ◽  
Vol 10 (10) ◽  
pp. 2198
Author(s):  
Rosario Musumeci ◽  
Pasquale Troiano ◽  
Marianna Martinelli ◽  
Matteo Piovella ◽  
Claudio Carbonara ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Ocular Surface ◽  
Povidone Iodine ◽  
Bacterial Species ◽  
Bacterial Flora ◽  
Bacterial Load ◽  
Controlled Study ◽  
Eye Drops ◽  
Microbiological Analysis ◽  
Contralateral Eye

A multicenter, nonrandomized, prospective, controlled study was conducted to evaluate, as perioperative prophylactic treatment, the anti-infective effectiveness of 0.66% povidone-iodine eye drops (IODIM®) against the bacterial flora of the conjunctival surface of patients who undergo cataract surgery. Eye drops containing 0.66% povidone-iodine were applied to the eye undergoing cataract surgery; the untreated contralateral eye was used as control. One hundred and twenty patients set to receive unilateral cataract surgery were enrolled in 5 Italian Ophthalmology Centers and pretreated for three days with 0.66% povidone-iodine eye drops. The contralateral eye, used as control, was left untreated. Conjunctival swabs of both eyes were collected at the baseline visit and after three days of treatment, just before the cataract surgery. A qualitative and quantitative microbiological analysis of bacterial presence was evaluated by means of bacterial culture, followed by identification. Methicillin resistance determination was also performed on staphylococci isolates. Bacterial load before and after treatment of the eye candidate for cataract surgery was evaluated and compared to the untreated eye. A reduction or no regrowth on the culture media of the bacterial load was observed in 100% of the study subjects. A great heterogenicity of bacterial species was found. The 0.66% povidone-iodine eye drops, used for three days prior to cataract surgery, were effective in reducing the conjunctival bacterial load. The 0.66% povidone-iodine eye drops (IODIM®) might represent a valid perioperative prophylactic antiseptic adjuvant treatment to protect the ocular surface from microbial contamination in preparation of the surgical procedure.

Reduction of Anterior Chamber Contamination Rate After Cataract Surgery by Intraoperative Surface Irrigation With 0.25% Povidone–Iodine

2011 ◽  
Vol 151 (1) ◽  
pp. 11-17.e1 ◽  
Author(s):  
Hiroyuki Shimada ◽  
Shinzi Arai ◽  
Hiroyuki Nakashizuka ◽  
Takayuki Hattori ◽  
Mitsuko Yuzawa
Keyword(s):  
Cataract Surgery ◽  
Anterior Chamber ◽  
Povidone Iodine ◽  
Contamination Rate ◽  
Surface Irrigation

The use of povidone-iodine in ophthalmology and particularly cataract surgery

2019 ◽  
Vol 64 (3) ◽  
pp. 441-442 ◽  
Author(s):  
Piotr Kanclerz ◽  
Andrzej Grzybowski
Keyword(s):  
Cataract Surgery ◽  
Povidone Iodine

Reduction of Ocular Surface Damage and Bacterial Survival Using 0.05% Povidone-Iodine Ocular Surface Irrigation before Cataract Surgery

2019 ◽  
Vol 62 (3) ◽  
pp. 166-172 ◽  
Author(s):  
Fang Fan ◽  
Zhihua Zhao ◽  
Xiaobin Zhao ◽  
Qingmin Ma ◽  
Kejun Li ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Ocular Surface ◽  
Povidone Iodine ◽  
Surface Damage ◽  
Bacterial Survival ◽  
Surface Irrigation

scholarly journals Erratum: Survival of bacteria on the ocular surface following double application of povidone-iodine before cataract surgery

Eye ◽  
2011 ◽  
Vol 25 (11) ◽  
pp. 1526-1526 ◽  
Author(s):  
C V Stranz ◽  
G E Fraenkel ◽  
A R Butcher ◽  
A J Esterman ◽  
M J Goggin
Keyword(s):  
Cataract Surgery ◽  
Ocular Surface ◽  
Povidone Iodine

scholarly journals A new way of concentrating the cellular material of exudates

2018 ◽  
pp. 166-168
Author(s):  
M. G. Leonov ◽  
V. I. Novik ◽  
S. A. Belyaeva ◽  
Ya. H.-B. Ershova ◽  
Zh. P. Selifonova
Keyword(s):  
Ovarian Cancer ◽  
Exposure Time ◽  
Cytological Study ◽  
Cellular Material ◽  
Optimal Time ◽  
Cytological Investigation ◽  
Minute Exposure ◽  
Cell Complexes ◽  
Sedimentation Method

Objective. Improve the method for concentrating the cellular material of serous cavities exudates for cytological investigation.Materials and methods. The optimal time of accumulation of cell samples in effusion liquids was determined on the basis of the sedimentation method using a dropping funnel by examining 28 samples of exudates (pleural and abdominal) obtained from 24 patients with ovarian cancer. The two methods for concentrating the cellular material of exudate were compared: the method using a dropping funnel and the method using a cylinder.Results. It was found that the 60-minute exposure time was optimal in using a dropping funnel to concentrate the cellular material of exudates.Conclusion. Using a dropping funnel to concentrate the cellular material of the exudates is optimal. In this case, the investigational preparations contain a sufficient amount of cellular material for the cytological study and the cell complexes are larger than those in using the cylinder.

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