Abstract：
:Endophthalmitis is a serious complication of cataract surgery that occurs in thousands of patients each year. To decrease the incidence of postoperative endophthalmitis, many surgeons inject intracameral antibiotics (cefuroxime, moxifloxacin, and vancomycin) routinely at the end of surgery. A large number of recently published retrospective studies and large database analyses have reported decreased endophthalmitis rates with routine antibiotic use, and the only prospective, multicenter, randomized trial performed by the European Society of Cataract and Refractive Surgery demonstrated that intracameral cefuroxime decreases the incidence of postoperative endophthalmitis. Routine cefuroxime use has become common in many European countries, whereas moxifloxacin is the most commonly used drug in India, and vancomycin use predominates in Australia. The decision regarding whether or not to use intracameral prophylaxis and the drug that is selected varies considerably throughout the world because of antibiotic availability and cost, and the spectrum of causative organisms. Adverse events due to intracameral antibiotics are infrequent, but complications such as hemorrhagic occlusive retinal vasculitis have been reported. Because additional prospective, comparative trials have not been performed, a consensus regarding best practices to prevent postoperative endophthalmitis has not been reached. Additionally, many surgeons do not routinely use intracameral antibiotics because they believe them unnecessary with modern aseptic techniques, small incision surgery, and shorter operating times. We discuss the most commonly used intracameral antibiotics, present the risks and potential benefits of this approach, and highlight challenges with drug compounding and safety.
journal_name
Surv Ophthalmoljournal_title
Survey of ophthalmologyauthors
Grzybowski A,Brona P,Zeman L,Stewart MWdoi
10.1016/j.survophthal.2020.04.006subject
Has Abstractpub_date
2021-01-01 00:00:00pages
98-108issue
1eissn
0039-6257issn
1879-3304pii
S0039-6257(20)30072-2journal_volume
66pub_type
杂志文章,评审abstract：:Idiopathic sclerosing inflammation of the orbit is a distinct form of orbital inflammatory disease characterized by slow and relentless involvement of orbital structures. It is this insidious and relentless course that makes distinction from neoplastic lesions clinically difficult. We report the case of a patient with...
journal_title：Survey of ophthalmology
pub_type： 杂志文章
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journal_title：Survey of ophthalmology
pub_type： 杂志文章
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journal_title：Survey of ophthalmology
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journal_title：Survey of ophthalmology
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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journal_title：Survey of ophthalmology
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journal_title：Survey of ophthalmology
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journal_title：Survey of ophthalmology
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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journal_title：Survey of ophthalmology
pub_type： 杂志文章
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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更新日期：2017-01-01 00:00:00
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journal_title：Survey of ophthalmology
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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journal_title：Survey of ophthalmology
pub_type： 临床试验,杂志文章
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journal_title：Survey of ophthalmology
pub_type： 杂志文章
doi：10.1016/0039-6257(83)90195-9
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
doi：10.1016/j.survophthal.2003.12.008
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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journal_title：Survey of ophthalmology
pub_type： 杂志文章
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journal_title：Survey of ophthalmology
pub_type： 杂志文章
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journal_title：Survey of ophthalmology
pub_type： 传,历史文章,杂志文章
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journal_title：Survey of ophthalmology
pub_type： 历史文章,杂志文章,评审
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journal_title：Survey of ophthalmology
pub_type： 杂志文章
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journal_title：Survey of ophthalmology
pub_type： 杂志文章
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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journal_title：Survey of ophthalmology
pub_type： 杂志文章
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更新日期：1998-09-01 00:00:00
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
doi：10.1016/j.survophthal.2007.06.010
更新日期：2007-09-01 00:00:00
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journal_title：Survey of ophthalmology
pub_type： 杂志文章,评审
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更新日期：1997-01-01 00:00:00
