Portal de Periódicos da CAPES

Reducing Endophthalmitis Risk Factors: Where We Stand

2005; Elsevier BV; Volume: 139; Issue: 6 Linguagem: Inglês

10.1016/j.ajo.2005.02.059

1879-1891

Eric R. Holz,

Ocular Diseases and Behçet’s Syndrome

Miller and associates 1 Miller J.J. Scott I.U. Flynn Jr, H.W. Smiddy W.E. Newton J. Miller D. Acute-onset endophthalmitis after cataract surgery (2000–2004) incidence, clinical settings, and visual acuity outcomes after treatment. Am J Ophthalmol. 2005; 139: 983-987 Abstract Full Text Full Text PDF PubMed Scopus (272) Google Scholar present data concerning the incidence and clinical settings of acute-onset endophthalmitis after cataract surgery at a single university-affiliated hospital. This is the third installment in a series that covers the time periods 1984 to 1994, 2 Aaberg Jr, T.M. Flynn Jr, H.W. Schiffman J. Newton J. Nosocomial acute-onset postoperative endophthalmitis survey. A 10-year review of incidence and outcomes. Ophthalmology. 1998; 105: 1004-1010 Abstract Full Text Full Text PDF PubMed Scopus (387) Google Scholar 1995 to 2001, 3 Eifrig C.W. Flynn Jr, H.W. Scott I.U. Newton J. Acute-onset postoperative endophthalmitis review of incidence and visual outcomes (1995–2001). Ophthalmic Surg Lasers. 2002; 33: 373-378 PubMed Google Scholar and January 2000 to November 2004. 1 Miller J.J. Scott I.U. Flynn Jr, H.W. Smiddy W.E. Newton J. Miller D. Acute-onset endophthalmitis after cataract surgery (2000–2004) incidence, clinical settings, and visual acuity outcomes after treatment. Am J Ophthalmol. 2005; 139: 983-987 Abstract Full Text Full Text PDF PubMed Scopus (272) Google Scholar It is interesting to note that the risk of acute endophthalmitis after cataract surgery has remained very low and relatively stable during this 20-year period, .082%, .04%, and .04%, respectively. The intriguing part of the current offering surrounds the clinical settings of infected cases and the authors’ speculation regarding significance. Inferior incision location, more frequently employed by right-handed surgeons on right eyes, was present in 86% of cases. Four (57%) of seven cases had an intraoperative complication (vitreous loss, iris prolapse). Five (71%) of seven patients had relative immunosuppression (diabetes mellitus-4, polymyalgia rheumatica-1). All of the patients had preoperative preparation with povidone-iodine. These observations deserve additional thought regarding their relevance to current clinical practice.