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Endophthalmitis prophylaxis in cataract surgery: practice patterns in Greater Poland (Wielkopolska) region in Poland

Poster Details

First Author: A.Grzybowski POLAND

Co Author(s):    M. Gaca-Wysocka   J. Różewicz           

Abstract Details


Assessment of practice patterns in endophtalmitis prophylaxis in cataract surgery in Greater Poland (Wielkopolska) Region in Poland.


Practice patterns in endophtalmitis prophylaxis in cataract surgery in Poland are unknown and need to be studied. Greater Poland, about 3.5 mln of inhabitants (8,9% of Poland population) is the third biggest voivodeship in Poland.


All local cataract surgery centers (18) were requested to take part in a survey on cataract surgery perioperative prophylaxis. Data were collected from all 18 centers in 2013.


Antibiotics used in pre-operative endophtalmitis prophylaxis were fluoroquinolones (94%) and chloramphenicol (6%). Pre-operative topical antibiotics: 5 centers (28%) use topical fluoroquinolones 3 days before surgery, 2 centers (11%) 2 days before, 2 centers (11%) 4 days before, and 1 medical center (5%) does not used it all. Preoperative antisepsis of the periocular area with 10% povidone - iodine and 5% povidone iodine instillation to conjunctival sac before surgery was used in 100 % centers. Intracameral cefuroxime injection at the end of the operation was used in was used a standard in every surgery in 72 % centers, and in 28% it was used only in selected cases. Antibiotics used in postoperative endophtalmitis prophylaxis were fluoroquinolones (94%) and chloramphenicol (6%). Antiobiotics postoperatively were used for 3 days (6%), for 10 days (56%), for 2 weeks (16%) and more than 2 weeks (11%). No postoperative antibiotics were used in 2 centers (11%).


The use of povidone - iodine in the preoperative antisepsis is accepted by 100 % of studied centers, while the standard use of intracameral cefuroxime in 72% of centers. Although majority of centers use topical antibiotics before (94%) and after surgery (89%), there is no consensus regarding the duration of this treatment - from 5 days before to more than 2 weeks after the surgery. The benefits and hazards of preoperative and postoperative use of antibiotics in cataract surgery should be re-analysed and recommendations in this regard prepared. FINANCIAL INTEREST: NONE

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