Subconjunctival antibiotics for acute postcataract extraction endophthalmitis--is it necessary?

Abstract:

PURPOSE:To evaluate the efficacy of adjunctive subconjunctival antibiotic injection in the treatment of acute postcataract extraction endophthalmitis. DESIGN:Retrospective cohort study. METHODS:Patients who presented with hand motions or better vision and received subconjunctival antibiotics (SC+ group) were compared with those who did not (SC- group) in the treatment of acute postoperative endophthalmitis. RESULTS:The rate of obtaining a final vision of 20/40 or better was 60% in the SC+ group (n = 25) compared with 72% in the SC- group (n = 18) (P =.69), and the mean change in logMAR was -1.36 (improvement) versus -1.34 (P =.93). Based on a linear regression model controlling for presenting vision, there was no statistical difference in the mean logMAR change between the two groups (P =.73). CONCLUSION:Subconjunctival antibiotic injection as an adjunct to intravitreal antibiotics was unassociated with treatment benefit in patients with acute postoperative endophthalmitis presenting with vision of hand motions or better.

journal_name

Am J Ophthalmol

authors

Iyer MN,Han DP,Yun HJ,Eastwood D,Kim JE,Connor TB,Wirostko WJ,Dev S

doi

10.1016/j.ajo.2003.12.042

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

1120-1

issue

6

eissn

0002-9394

issn

1879-1891

pii

S0002939403016295

journal_volume

137

pub_type

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