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Endophthalmitis following cataract surgery in our institution and associated hospitals Hidemi Aonuma 1 1Dept of Ophthalmol, Hamamatsu Univ Sch of Med pp.815-818
Published Date 1999/5/15
DOI https://doi.org/10.11477/mf.1410906339
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We surveyed cases of endophthalmitis following cataract surgery in our institution and associated hospitals during the foregoing 5 years. Out of cataract surgery on consecutive 11,000 eyes, endophthalmitis developed in 5 eyes (0.045%). The latter included 2 diabetic patients and 2 cases of nasolacrimal duct stenosis. Causative organism could be identified in 3 cases. Incidence of endophthalmitis was dependent neither on instillation of antibiotics prior to surgery, irrigation of lacrimal sac, excision of cilia before surgery, asepsis of the eyelids, nor irrigation of the conjunctival sac. All the 5 eyes were eventually treated by vitrectomy. Intraocular lens was removed in 3 eyes. The final visual acuity ranged from 0.1 to 1.5. We advocate daily observation till the 4th postoperative day to detect initial signs of endophthalmitis. We also advocate against indiscriminate use of antibiotics in cataract surgery.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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