Transcript Peroperative intracameral cefuroxime for cataract surgery

Peroperative intracameral
cefuroxime for cataract
surgery
Cholevík D., Mašek P.
University Hospital Ostrava
Czech Republic
ASCRS Chicago, 2008
Group

from May 2006 to February 2008

4498 cataract surgeries

two Super High Volume Surgeons
ASCRS Chicago, 2008
Pre-operative
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Maxitrol gtt
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topical anaestesia
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povidine-iodine 5%
ASCRS Chicago, 2008
Surgery
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2,8 mm CCI
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standard phacoemulsification
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foldable IOL implantation
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1 mg cefuroxime intracameral
ASCRS Chicago, 2008
Post-operative


Maxitrol gtt 5x /d for 1/w
patients follow up – 1, 7, 14 and 30th day
after surgery
ASCRS Chicago, 2008
Results
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4498 cataract surgeries
no postroperative inflammation
complications
0% postoperative endoftalmitis
ASCRS Chicago, 2008
Conclusions

We recommend intracameral
cefuroxime as a standard procedure
of modern phacoemulsification
cataract surgery
ASCRS Chicago, 2008
Appendix
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ESCRS Guidelines on prevention, investigation
and management of post-operative
endophthalmitis
(Version 1, July 2005)
(Version 2, August 2007)
ISBN 0-9550988-0-7
ASCRS Chicago, 2008