Publication Exclusive: Intraocular antibiotic prophylaxis in best interests of patients

During my residency and fellowship training in the 1970s, the two most dreaded complications of cataract surgery were expulsive choroidal hemorrhage and endophthalmitis. In advanced countries, expulsive choroidal hemorrhage has been nearly eliminated as a blinding complication by phacoemulsification with its small self-sealing incision. The incidence of infectious endophthalmitis has been reduced from as many as one per 400 during my training to about one per 1,000 through the use of povidone-iodine antiseptic prophylaxis, careful draping of lids and lashes, and surgeon care in assuring a well-sealed incision, but there (Read more...)

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