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Determining the Role for Antibiotics in the Prevention of Endophthalmitis After Cataract Surgery

Determining the Role for Antibiotics in the Prevention of Endophthalmitis After Cataract Surgery EDITORIAL Determining the Role for Antibiotics in the Prevention of Endophthalmitis After Cataract Surgery HEN ENDOPHTHALMITIS OCCURS AF- neal incision does not eliminate entry of bacteria, but it ter cataract surgery, it often leads can reduce it. Tissue adhesives may provide an alterna- to severe loss of vision. Most ef- tive mode of wound closure. Can a femtosecond laser forts to prevent endophthalmitis make a better self-sealing incision than a blade? These are based on clinical experience and options increase operative time, add to expense, and may less-than-ideal clinical trials. Cataract extraction is one have adverse consequences of their own. of the most commonly performed surgeries in the United The anterior chamber is not an inherently friendly place States, and the number of these surgeries will continue for bacteria to reproduce. From animal models, we know to grow as the population ages. Nearly every patient un- that small or moderate inoculations of bacteria are cleared dergoing cataract surgery in the United States receives spontaneously, without adverse clinical effect. The same topical antibiotics before and after surgery, yet infec- is probably true in the human eye. (In cases of disrup- tions still occur and there is some evidence that the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Determining the Role for Antibiotics in the Prevention of Endophthalmitis After Cataract Surgery

Raizman, Michael B.
JAMA Ophthalmology , Volume 129 (4) – Apr 1, 2011
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References (18)

Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/archophthalmol.2011.50
pmid
21482876
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL Determining the Role for Antibiotics in the Prevention of Endophthalmitis After Cataract Surgery HEN ENDOPHTHALMITIS OCCURS AF- neal incision does not eliminate entry of bacteria, but it ter cataract surgery, it often leads can reduce it. Tissue adhesives may provide an alterna- to severe loss of vision. Most ef- tive mode of wound closure. Can a femtosecond laser forts to prevent endophthalmitis make a better self-sealing incision than a blade? These are based on clinical experience and options increase operative time, add to expense, and may less-than-ideal clinical trials. Cataract extraction is one have adverse consequences of their own. of the most commonly performed surgeries in the United The anterior chamber is not an inherently friendly place States, and the number of these surgeries will continue for bacteria to reproduce. From animal models, we know to grow as the population ages. Nearly every patient un- that small or moderate inoculations of bacteria are cleared dergoing cataract surgery in the United States receives spontaneously, without adverse clinical effect. The same topical antibiotics before and after surgery, yet infec- is probably true in the human eye. (In cases of disrup- tions still occur and there is some evidence that the

Journal

JAMA Ophthalmology – American Medical Association

Published: Apr 1, 2011

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