The role of topical antibiotics in perioperative endophthalmitis prevention in cataract surgery

Main Article Content

Andrzej Grzybowski
Konrad Kupidura-Majewski

Abstract

Postoperative endophthalmitis after cataract surgery, although very rare, remains an important cause of blindness. Practice patterns vary in many European countries. They include topical antibiotics before surgery, use of povidone-iodine, intracameral antibiotics at the end of the procedure, subconjunctival injection, use of topical antibiotics after surgery, and also emerging ideas such as dropless cataract surgery. The purpose of this article is to present the current management strategy and the role of local antibiotic therapy used in the prevention of endophthalmitis.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Grzybowski A, Kupidura-Majewski K. The role of topical antibiotics in perioperative endophthalmitis prevention in cataract surgery. Ophthatherapy [Internet]. 2019Sep.30 [cited 2021Oct.16];6(3):147-51. Available from: https://www.journalsmededu.pl/index.php/ophthatherapy/article/view/945
Section
Articles

References

1. Grzybowski A, Koerner JC, George MJ. Postoperative Endophthalmitis after Cataract Surgery: A Worldwide Review of Etiology, Incidence and the most Studied Prophylaxis Measures. Expert Rev Ophthalmol. 2019. https://doi.org/10.1080/17469899.2019.1674140.
2. Wytyczne ESCRS dotyczące profilaktyki i leczenia zapalenia wnętrza gałki ocznej po operacji zaćmy 2013. W: The European Society for Cataract & Refractive Surgeons. http://www.escrs.com .
3. Grzybowski A, Schwartz SG, Matsuura K et al. Endophthalmitis Prophylaxis in Cataract Surgery: Overview of Current Practice Patterns Around the World. Curr Pharm Des. 2017; 23: 1-8.
4. Schwartz SS, Grzybowski A, Flynn HW. Antibiotic prophylaxis: different practice patterns within and outside the United States. Clin Ophthalmol. 2016; 10: 251-6.
5. Wytyczne PTO – leczenie operacyjne zaćmy. http://www.pto.com.pl.
6. Grzybowski A, Brona P, Kim S. Microbial flora and resistance in ophthalmology: a review. Graefes Arch Clin Exp Ophthalmol. 2017; 255: 851-62.
7. Grzybowski A, Kanclerz P, Myers WG. The use of povidone-iodine in ophthalmology. Curr Opin Ophthalmol. (Philadelphia) 2018; 7(2): 72-5.
8. Grzybowski A, Kuklo P, Pieczyński J et al. A review of preoperative manoeuvres for prophylaxis of endophthalmitis in intraocular surgery: topical application of antibiotics, disinfectants, or both? Curr Opin Ophthalmol. 2016; 27: 9-23.
9. Shimada H, Nakashizuka H, Grzybowski A. Prevention and Treatment of Postoperative Endophthalmitis Using Povidone-Iodine. Curr Pharm Des 2017; 23: 574-85.
10. Grzybowski A, Turczynowska M. More Antisepsis, Less Antibiotics Whenever Possible. Asia Pac J Ophthalmol. (Philadelphia) 2017. https://doi.org/10.22608/APO.2017343.
11. Lindstrom R, Galloway M, Grzybowski A et al. Dropless Cataract Surgery: An Overview. Curr Pharm Des. 2017; 23: 558-64.
12. Grzybowski A, Turczynowska M. Standard preoperative topical antibiotics do not additionally benefit in postcataract endophthalmitis prophylaxis. J Cataract Refract Surg. 2017; 43(6): 861-2.
13. Schwartz SG, Flynn HW, Grzybowski A et al. Intracameral Antibiotics And Cataract Surgery: Endophthalmitis Rates, Costs and Stewardship. Ophthalmol. 2016; 123(7): 1411-3.