Perioperative Antibiotic Prophylaxis In Cataract Surgery – A Survey Of Asian Eye Institutions
Published 2023 - 41st Congress of the ESCRS
Reference: PO0447 | Type: Free paper | DOI: 10.82333/gq5q-7g66
Authors: Aravind Roy* 1 , Prashant Garg 2 , Khor Wei Boon 3 , Donald Tiang Hwee Tan 4
1Cornea and Anterior Segment Services,KVC Campus, LV Prasad Eye Institute,Vijayawada,India, 2Cornea and Anterior Segment Services,KAR Campus, LV Prasad Eye Institute,Hyderabad,India, 3Cornea and Anterior Segment services ,Singapore National Eye Center,Singapore,Singapore, 4Cornea and Anterior Segment Services,Singapore National Eye Center,Singapore,Singapore;Eye and Cornea surgeons, Eye and Retina Surgeons,Camden Medical Center,Singapore,Singapore
Purpose
To determine current institutional practice patterns for perioperative prophylaxis post cataract surgery across Asia
Setting
Online survey administered to opinion leaders representing 26 key institutions across Asia
Methods
Survey covered 3 areas of infection prophylaxis for cataract surgery; pre-, intra-, and post operative prophylaxis. High risk (HR) cases had ocular and systemic comorbidities; low risk (LR) cases were routine surgeries.
Results
Preoperative antibiotics were prescribed to 61.5%(n=16) LR and 69.2%(n=18) HR cases. Povidone iodine (PI) painting of periocular area was performed by all institutions. Intraoperative topical antibiotics were used in 70%(n=14/20) LR and 66.7%(n=14/21) HR cases; intracameral antibiotics were used by 60%(n=12/20) in LR and 66.7%(n=14/21) in HR cases at the end of surgery. Post operative topical standalone antibiotics were never used by 3/26 respondents LR cases and 1/26 respondents in HR cases. In 52.1%(n=12/23) and 68.0%(n=17/25), postoperative antibiotics were used beyond 2 weeks. Antibiotic policy was available with 65.4%(n=17) and monitoring for emerging antibiotic response in 76.9%(n=20) of institutions.
Conclusions
This survey highlights variations in infection prophylaxis practice patterns in Asia. Prophylaxis patterns were similar for high and low risk cases. Intraoperatively, there was no preference of topical over intracameral administration of antibiotics. More than half the institutions used post operative topical antibiotics for prolonged duration. Not all institutions have antibiotic surveillance programs.